Individual
TRAVIS J SOILEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 REINHARDT DR, LAFAYETTE, LA 70506-4252
(337) 482-6335
Mailing address
201 REINHARDT DR, LAFAYETTE, LA 70506-4252
(337) 482-6335
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.J00350
LA
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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