Individual
MATTHEW C RODRIGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT, MA
Contact information
Practice address
2030 14TH ST BLDG 1830, FORT POLK, LA 71459-5302
(504) 415-0392
Mailing address
136 COLONY STATION ST, THIBODAUX, LA 70301-1100
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT10162
TX
2255A2300X
Athletic Trainer
Primary
ATH.200172
LA
Other
Enumeration date
10/27/2021
Last updated
04/10/2026
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