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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. KACIE EDWARDS, LAT, ATC

Active Sole Proprietor

MRS. KACIE EDWARDS, LAT, ATC is a Athletic Trainer healthcare provider located in JEFFERSON, Louisiana. NPI 1114393964 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · JEFFERSON, LA

Registration Details

NPI Number
1114393964
Provider Type
Individual
Gender
Female
NPI Issued
Aug 17, 2015 (10.948760264535 yrs)
Last Updated
Aug 17, 2015
License
ATH.200362 (LA)
Sole Proprietor
Yes

Practice Information

Address
1201 S CLEARVIEW PKWY
JEFFERSON, LA, 701211015
Browse LA providers · Browse ZIP 70121
Phone
2255719471
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in JEFFERSON, LA

Name Credential NPI
COURTNEY LYNN RAUSCHKOLB LAT, ATC 1679986780
MELINA TODESCO MA, ATC, LAT 1104233683
COLLEEN AMEDEE LAT, ATC 1043627573
MARISSA LYNN STPE 1235546615
NICHOLE LABOWE MS, LAT, ATC 1508273913
MR. NICHOLAS HOLTGRIEVE ATC 1497147839
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.