Individual
MICHELLE HARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
18033 S PLEASANT RIDGE RD, HAMMOND, LA 70403-0643
(504) 908-3177
Mailing address
18033 S PLEASANT RIDGE RD, HAMMOND, LA 70403-0643
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH200133
LA
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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