Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRAD MICHAEL PENOUILH JR., MA, ATC, LAT
ActiveMR. BRAD MICHAEL PENOUILH JR., MA, ATC, LAT is a Athletic Trainer healthcare provider located in WESTWEGO, Louisiana. NPI 1225073059 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · WESTWEGO, LA
Registration Details
- NPI Number
- 1225073059
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 17, 2006 (20.16732944525 yrs)
- Last Updated
- Feb 26, 2009
Practice Information
- Address
-
710 WEST DRWESTWEGO, LA, 700944736Browse LA providers · Browse ZIP 70094
- Phone
- 5048109111
- Primary Specialty
-
Athletic Trainer
2255A2300X
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.