Individual
MR. CHRISTIAN MICHAEL STIPE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
917 S JAHNCKE AVE, COVINGTON, LA 70433-3724
(985) 892-3200
Mailing address
917 S JAHNCKE AVE, COVINGTON, LA 70433-3724
(985) 892-3200
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH200349
LA
Other
Enumeration date
04/26/2006
Last updated
04/04/2016
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