Individual
COURTNEY LYNN RAUSCHKOLB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1201 S CLEARVIEW PKWY, BUILDING B, SUITE 104, JEFFERSON, LA 70121-1015
(504) 736-4800
Mailing address
1201 S CLEARVIEW PKWY, BUILDING B, SUITE 104, JEFFERSON, LA 70121-1015
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.200137
LA
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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