Individual
TRAVIS JAMES ROUSSELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3939 HOUMA BLVD, METAIRIE, LA 70006-2931
(504) 885-9121
Mailing address
5419 EHRET RD, MARRERO, LA 70072-5309
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
310149
LA
Other
Enumeration date
02/05/2018
Last updated
06/13/2025
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