NPI 1386013290

Dominique Richard

Practitioner Athletic Trainer Zachary, LA

Practice location

Address: 3429 Jersey Dr, Zachary, LA 70791-4209
Phone: (225) 636-6367

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in Louisiana →

Registry record

NPI: 1386013290
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Sep 2015
Record last updated: 21 Sep 2015

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.