Individual
MR. REECE VITALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
32695 GRAHAM ST, WHITE CASTLE, LA 70788-2211
(985) 513-4163
Mailing address
735 SAINT VINCENT RD, NAPOLEONVILLE, LA 70390-2825
(985) 513-4163
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
302365
LA
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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