Search › Louisiana › Athletic Trainer
Jacob Broussard, ATC, LAT
NPI 1184248684 · on the registry since 2020
Practice
- Address
- 808 S Broadway St
Erath, LA 70533 - Phone
- (337) 937-8451
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-06-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana