Individual
KRISTA DAVIS WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
222 SAINT NICHOLAS ST, LULING, LA 70070-5110
(985) 308-0263
Mailing address
222 SAINT NICHOLAS ST, LULING, LA 70070-5110
(985) 308-0263
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.J00364
LA
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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