Individual
RANDY SHAWN EDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
LSU ATHLETICS, ATHLETIC ADMINISTRATION BLDG, BATON ROUGE, LA 70803-0001
(225) 578-4151
(225) 578-3894
Mailing address
LSU ATHLETICS, ATHLETIC ADMINISTRATION BLDG, BATON ROUGE, LA 70803-0001
(225) 578-4151
(225) 578-3894
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATHJ00178
LA
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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