Individual
PEYTON LEA BLEDSOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
102 BAYOU BEND DR, HOUMA, LA 70364-1101
(985) 870-3139
Mailing address
102 BAYOU BEND DR, HOUMA, LA 70364-1101
(985) 870-3139
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
312912
LA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
01/15/2019
Last updated
11/08/2020
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