Individual
BYRON POTTORFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
1450 WEST ALABAMA, RUSTON, LA 71272
(318) 265-4894
Mailing address
PO BOX 3156, RUSTON, LA 71272-0001
(318) 265-4894
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
303666
LA
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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