MRS. Kacie Edwards, LAT, ATC

NPI #1114393964 in Jefferson, Louisiana

Provider Information

NPI Number
1114393964
Entity Type
Individual
Name
MRS. Kacie Edwards, LAT, ATC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
LAT, ATC
Enumeration Date
Aug 17, 2015
Last Updated
Aug 17, 2015

Practice Location

Address
1201 S CLEARVIEW PKWY
ZIP Code
70121-1015
Phone
(225) 571-9471

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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