Individual
BRADLEY JAMES REAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC, ITAT, CAFS
Contact information
Practice address
1307 OLD JEANERETTE RD STE 102, NEW IBERIA, LA 70563-5801
(337) 552-5668
Mailing address
111 DIJON DR, LAFAYETTE, LA 70506-5101
(337) 552-5668
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
306607
LA
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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