NPI 1134589443

Evan Dauterive, ATC

Practitioner Athletic Trainer Thibodaux, LA

Practice location

Address: 602 N Acadia Rd, Thibodaux, LA 70301-4823
Phone: (985) 448-4837

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence ATH.200454 (LA)

Other Specialist/Technologist providers in Louisiana →

Registry record

NPI: 1134589443
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Feb 2016
Record last updated: 29 Feb 2016

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.