Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRAVIS EDWARD THERIOT, MS, LAT, ATC
ActiveTRAVIS EDWARD THERIOT, MS, LAT, ATC is a Athletic Trainer healthcare provider located in LAKE CHARLES, Louisiana. NPI 1104570027 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · LAKE CHARLES, LA
Registration Details
- NPI Number
- 1104570027
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 9, 2022 (4.4679719338715 yrs)
- Last Updated
- Feb 9, 2022
- License
-
ATH.200301 (LA)
Practice Information
- Address
-
1747 IMPERIAL BLVDLAKE CHARLES, LA, 706055362Browse LA providers · Browse ZIP 70605
- Phone
- 3377217236
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in LAKE CHARLES, LA
| Name | Credential | NPI |
|---|---|---|
| DONALD J KRON | ATC, LAT | 1912110339 |
| MR. ALEX HEATH DIBBLEY | A.T.C., L.A.T. | 1245434711 |
| MS. PAMELA KNIGHT GUIDRY | MS, ATC, LAT | 1841494580 |
| JASON RODRIGUEZ | MBA, LAT, ATC | 1124370960 |
| AARON DAVID MCDONALD | EDS, MED, LAT | 1306289368 |
| ARIEL MARGAURITE GREENE | ATC | 1043651136 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.