Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael P Rose, LAT

Individual provider Athletic Trainer · NPI 1770787509

Michael P Rose, LAT is an Athletic Trainer in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

735 Highgrove Pl
Rockford, IL 61108-2520
Phone: (815) 226-4365
Fax: (815) 226-4589
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 096001973 (IL)

Record details

NPI number1770787509
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT
Sole proprietorNo
NPI enumeratedJune 14, 2007
Last updated in NPPESMay 20, 2008

Other providers in Rockford