IndividualActive
Charles Roggow, ATC
NPI 1063606937 · Athletic Trainer · Pukalani, HI
Provider details
- NPI number
- 1063606937
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2255A2300X (HI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
270 a 'Apueo Parkway
Pukalani, HI 96768
Phone: (808) 573-7108
Approximate (ZIP-level) locationGet directions
Mailing address
124 Aleiki Pl
Paia, HI 96779-9716
Registry dates
- Enumerated
- 2007-09-04
- Last updated
- 2007-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.