Individual
KATHRYN ANGELLE RESWEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
816 HARDING ST, LAFAYETTE, LA 70503-2320
(337) 232-3111
(337) 232-5400
Mailing address
816 HARDING ST, LAFAYETTE, LA 70503-2320
(337) 232-3111
(337) 232-5400
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
200478
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ATH200478
LOUISIANA ATHLETIC TRAINING
LA
01
—
BOC297444
ATHLETIC TRAINER NATIONAL CERTIFICATION
—
Enumeration date
05/29/2018
Last updated
05/29/2018
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