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

SIMON E WAGUESPACK

Active

Athletic Trainer · HAMMOND, LA

Registration Details

NPI Number
1356800957
Provider Type
Individual
Gender
Male
NPI Issued
Mar 14, 2019 (7.1402742621498 yrs)
Last Updated
Mar 14, 2019

Practice Information

Address
SOUTHEASTERN LOUISIANA UNIVERSITY
HAMMOND, LA, 704020001
Browse LA providers · Browse ZIP 70402
Phone
8002227358
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in HAMMOND, LA

Name Credential NPI
MS. KAREN M LEW MED., ATC, LAT 1407829914
MR. MATTHEW REUSS STUMPF MA, ATC 1407890486
ANTHONY TODD NEESON MS, ATC, LAT, CSCS 1598700312
MS. CARY LYNN BERTHELOT MA, ATC, LAT 1649208166
MR. CHAD ANTHONY DUFRENE ATC 1063772424
MR. JOSHUA DAWSEY ATC 1073936001
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.