Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENT THERIAULT, ATC, LAT
ActiveBRENT THERIAULT, ATC, LAT is a Athletic Trainer healthcare provider located in BETHLEHEM, Pennsylvania. NPI 1598332090 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · BETHLEHEM, PA
Registration Details
- NPI Number
- 1598332090
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 4, 2021 (5.1750095901061 yrs)
- Last Updated
- Jun 4, 2021
- Licenses
-
RT007713 (PA)25MT00245400 (NJ)
Practice Information
- Address
-
3149 CHESTER AVEBETHLEHEM, PA, 180202866Browse PA providers · Browse ZIP 18020
- Phone
- 6093505998
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in BETHLEHEM, PA
| Name | Credential | NPI |
|---|---|---|
| MR. CHRISTOPHER D RIEDY | LAT, ATC, CSCS, CFO | 1366400715 |
| LORRIE R RADCLIFF | MSED; ATC | 1437194271 |
| ANITA L. FANELLI | ATC | 1285661165 |
| TIMOTHY S DOANE | M.A., ATC | 1275553141 |
| DR. JENNIFER LYNN OSTROWSKI | PH.D., LAT, ATC | 1578584157 |
| KATHLEEN CORPORA | ATC | 1992718563 |
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.