Ryan Adams, A.T.C., L.A.T.
Specialist/Technologist, Athletic Trainer in Thibodaux, LA. Individual provider (NPI-1).
NPI number1578096129
StatusActive
Last updated in NPPESApr 10, 2017
Details
- NPI
- 1578096129
- Entity type
- Individual (NPI-1)
- Name
- Ryan Adams
- Credential
- A.T.C., L.A.T.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2017
- Last updated
- Apr 10, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
312 Hermitage DrThibodaux, LA 70301-2917
Phone 985-859-8830
Mailing address
312 Hermitage DrThibodaux, LA 70301-2917
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All 26 Athletic Trainer providers in Thibodaux · All 1,515 providers in Thibodaux
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