Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CORDARIUS WAYNE, ATC, LAT
Active Sole ProprietorCORDARIUS WAYNE, ATC, LAT is a Athletic Trainer healthcare provider located in MINDEN, Louisiana. NPI 1568984581 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · MINDEN, LA
Registration Details
- NPI Number
- 1568984581
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 11, 2017 (9.0766212231709 yrs)
- Last Updated
- Jul 11, 2017
- License
-
300123 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
216 W UNION ST STE AMINDEN, LA, 710553216Browse LA providers · Browse ZIP 71055
- Phone
- 3182996334
- Fax
- 3182996332
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in MINDEN, LA
| Name | Credential | NPI |
|---|---|---|
| JORDAN BAILEY | — | 1417596198 |
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.