Individual
MRS. MICHELLE SANDY COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
1 NORTH STADIUM ROAD, LSU-BROUSSARD ATHLETIC TRAINING ROOM, BATON ROUGE, LA 70894
(225) 578-2496
(225) 578-3924
Mailing address
4537 ROSEDALE RD, PORT ALLEN, LA 70767-4351
(225) 268-1311
(225) 344-6836
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.J00335
LA
Other
Enumeration date
06/18/2007
Last updated
07/08/2007
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