Individual
DAVID ANTHONY PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
LSU ATHLETICS ADMINISTRATION BUILDING, BATON ROUGE, LA 70803-0001
(225) 578-8001
Mailing address
7882 SUMMER HILL DR, PARK CITY, UT 84098-6400
(435) 659-0250
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/27/2017
Last updated
07/01/2020
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