NPI 1154546802

Max Travis Mahaffey, ATCLAT

Practitioner Sports Medicine (Preventive Medicine) Physician Alexandria, LA

Practice location

Address: 3347 Masonic Dr, Alexandria, LA 71301-3842
Phone: (318) 448-4959
Mailing address: 1410 College St, Pineville, LA 71360-5215

Registered specialties

Sports Medicine (Preventive Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083S0010X Licence ATH.200021 (LA)

Other Preventive Medicine providers in Louisiana →

Registry record

NPI: 1154546802
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Apr 2007
Record last updated: 8 Jul 2007

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.