Individual
MS. AMY E VENABLE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC,LAT
Contact information
Practice address
128 E BUTCHER SWITCH RD, LAFAYETTE, LA 70507-3528
(337) 233-8080
(337) 237-1623
Mailing address
111 AVRON DR, CARENCRO, LA 70520-6136
(337) 896-9637
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.J00159
LA
Other
Enumeration date
08/31/2005
Last updated
07/08/2007
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