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

MR. TERRANCE BROUSSARD

Active Sole Proprietor

MR. TERRANCE BROUSSARD is a Athletic Trainer healthcare provider located in FISHERS, Indiana. NPI 1205232550 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · FISHERS, IN

Registration Details

NPI Number
1205232550
Provider Type
Individual
Gender
Male
NPI Issued
Nov 14, 2014 (11.711853028272 yrs)
Last Updated
Nov 14, 2014
License
991572 (IN)
Sole Proprietor
Yes

Practice Information

Address
12672 FEDERAL PL
FISHERS, IN, 460377833
Browse IN providers · Browse ZIP 46037
Phone
3173744102
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in FISHERS, IN

Name Credential NPI
JOE GEORGE KOSELLECK ATC 1649301185
ZACHARY D JONES ATC 1003109737
STEPHEN R. SCHOFIELD ATC 1720326317
JENNIFER DOMPIER L/ATC 1619306073
STEVEN ZOOK MS, ATC, LAT 1407285810
ZACHARY P SOVINE ATC, LAT 1801218821
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.