Russell Carlisle, ATC, LAT
NPI #1578988218 in Thibodaux, Louisiana
Provider Information
- NPI Number
- 1578988218
- Entity Type
- Individual
- Name
- Russell Carlisle, ATC, LAT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC, LAT
- Enumeration Date
- Mar 4, 2014
- Last Updated
- Mar 4, 2014
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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