Carmen Gautreau
Specialist/Technologist, Athletic Trainer in Prairieville, LA. Individual provider (NPI-1).
NPI number1669304853
StatusActive
Last updated in NPPESJun 1, 2026
Details
- NPI
- 1669304853
- Entity type
- Individual (NPI-1)
- Name
- Carmen Gautreau
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 1, 2026
- Certification date
- Jun 1, 2026
- Last updated
- Jun 1, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
18140 Lake Harbor LnPrairieville, LA 70769-5263
Phone 225-290-4621
Mailing address
18140 Lake Harbor LnPrairieville, LA 70769-5263
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