Individual
MR. JACK CABALLERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
8080 BLUEBONNET BLVD STE 1000, BATON ROUGE, LA 70810-7827
(225) 938-0043
Mailing address
15154 PROCHE LN, PRIDE, LA 70770-9670
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
329219
LA
Other
Enumeration date
06/30/2026
Last updated
06/30/2026
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