MR. Jerry D Blackwell Jr JR., LAT
NPI #1598473860 in Thibodaux, Louisiana
Provider Information
- NPI Number
- 1598473860
- Entity Type
- Individual
- Name
- MR. Jerry D Blackwell Jr JR., LAT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- LAT
- Enumeration Date
- Nov 7, 2022
- Last Updated
- Nov 7, 2022
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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