Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN CHARLES ROY, E.T.
Active Sole ProprietorAthletic Trainer · LAFAYETTE, LA
Registration Details
- NPI Number
- 1639526809
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 18, 2016 (9.929042245999 yrs)
- Last Updated
- May 18, 2016
- License
-
786746 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2425 W CONGRESS STLAFAYETTE, LA, 705065548Browse LA providers · Browse ZIP 70506
- Phone
- 3373719312
- Primary Specialty
-
Athletic Trainer
225500000X
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.