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

MS. Ebony Taryn Rose, MS, LAT, ATC

Individual provider Athletic Trainer · NPI 1710441951

MS. Ebony Taryn Rose, MS, LAT, ATC is an Athletic Trainer in Fort Polk, Louisiana. Works from 4 locations. Licensed in Ohio and Texas.

Licensed in
OH, TX
In the registry since
2019
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

1585 3rd St
Fort Polk, LA 71459-5102
Phone: (337) 531-3011
Show map & directions

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

Additional practice locations (3)

  • 340 Mississippi St Se, North Canton, OH 44720-3608 — (210) 623-0303
  • 124 Hinge Chase, Cibolo, TX 78108-3375 — (210) 623-0303
  • 80 Bowers Blvd, Huntsville, TX 77341-0001 — (936) 294-1111

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT8123 (TX)
Athletic Trainer Taxonomy 2255A2300X · Licence AT005900 (OH)

Record details

NPI number1710441951
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LAT , ATC
Sole proprietorNo
NPI enumeratedJanuary 22, 2019
Last updated in NPPESOctober 11, 2022
Certification dateOctober 11, 2022

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