Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WYDRICK RENELL HARDING, ATC, LAT
ActiveWYDRICK RENELL HARDING, ATC, LAT is a Athletic Trainer healthcare provider located in THIBODAUX, Louisiana. NPI 1659961837 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · THIBODAUX, LA
Registration Details
- NPI Number
- 1659961837
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 21, 2021 (5.5229850857015 yrs)
- Last Updated
- Jan 21, 2021
- License
-
302762 (LA)
Practice Information
- Address
-
602 N ACADIA RDTHIBODAUX, LA, 703014823Browse LA providers · Browse ZIP 70301
- Phone
- 9854475500
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in THIBODAUX, LA
| Name | Credential | NPI |
|---|---|---|
| MR. GERARD ANTHONY WHITE | MED, ATC, LAT | 1780612234 |
| MR. MAYFIELD BOOTH ARMSTRONG | ATC | 1174768519 |
| MR. LARRY DANTONI | ATC | 1528347077 |
| MR. JOSEPH R. MCCLELLAND | ATC | 1386082618 |
| RUSSELL CARLISLE | ATC, LAT | 1578988218 |
| DANIELLE R ADAM | ATC, LAT, CPHT | 1467834192 |
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.