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

RENE AUGUST PONSAA III, ATC, LAT

Active Sole Proprietor

RENE AUGUST PONSAA III, ATC, LAT is a Athletic Trainer healthcare provider located in PRAIRIEVILLE, Louisiana. NPI 1861906695 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · PRAIRIEVILLE, LA

Registration Details

NPI Number
1861906695
Provider Type
Individual
Gender
Male
NPI Issued
Dec 1, 2017 (8.6638862663485 yrs)
Last Updated
Dec 1, 2017
License
ATH200019 (LA)
Sole Proprietor
Yes

Practice Information

Address
36326 CRESTWAY AVE
PRAIRIEVILLE, LA, 707693272
Browse LA providers · Browse ZIP 70769
Phone
9856875348
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in PRAIRIEVILLE, LA

Name Credential NPI
MRS. PIPER OUBRE LAT, ATC 1962778365
CAITLYN THOMAS 1649738873
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.