Individual
BENJAMIN AUSTIN MORALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
10310 THE GROVE BLVD, BATON ROUGE, LA 70836-6455
(225) 761-5200
Mailing address
2045 N 3RD ST APT 307, BATON ROUGE, LA 70802-5182
(713) 805-6911
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
312308
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
312308
LSBME
LA
Enumeration date
07/28/2022
Last updated
07/28/2022
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