NPI 1386082618
Joseph R. McClelland, ATC
Practice location
- Address
- 808 Bayou Ln, Thibodaux, LA 70301-4906
- Phone
- (985) 447-3164
- Mailing address
- 140 Mia Dr, Gray, LA 70359-5314
Registered specialties
Athletic Trainer
Primary
Registry record
- NPI
- 1386082618
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 9 Jun 2013
- Record last updated
- 9 Jun 2013
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.