Individual
MR. TIMOTHY QUINTON NEASE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC, CES
Contact information
Practice address
906 E 1ST ST, SPORTS MEDICINE-BASKETBALL, THIBODAUX, LA 70301-6701
(912) 663-5841
(985) 448-4368
Mailing address
906 E 1ST ST, THIBODAUX, LA 70301-6701
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.200455
LA
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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