Individual
MR. STEVEN MICHAEL SIRACUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS,ATC,LAT,CSCS
Contact information
Practice address
816 HARDING ST, LAFAYETTE, LA 70503-2320
(337) 323-3111
Mailing address
816 HARDING ST, LAFAYETTE, LA 70503-2320
(337) 323-3111
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT4050
TX
2255A2300X
Athletic Trainer
Primary
ATH.200087
LA
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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