NPI 1003570862

Matthew C Rodrigue, ATCLATMA

Practitioner Athletic Trainer Fort Polk, LA

Practice location

Address: 2030 14th St Bldg 1830, Fort Polk, LA 71459-5302
Phone: (504) 415-0392
Mailing address: 136 Colony Station St, Thibodaux, LA 70301-1100

Registered specialties (2)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence ATH.200172 (LA)

Other Specialist/Technologist providers in Louisiana →

Athletic Trainer

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT10162 (TX)

Registry record

NPI: 1003570862
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Oct 2021
Record last updated: 10 Apr 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.