NPI 1013514710

Jody Powell, ATCLATCCMACES

Practitioner Athletic Trainer Monroe, LA

Practice location

Address: 1600 Arizona Ave, Monroe, LA 71202-3602
Phone: (318) 387-2932
Mailing address: 139 Victory Ln, West Monroe, LA 71291-1739

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence ATH.200402 (LA)

Other Specialist/Technologist providers in Louisiana →

Registry record

NPI: 1013514710
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Oct 2020
Record last updated: 6 Oct 2020

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.