JERRY BLACKWELL JR, LAT

LAT

Athletic Trainer

NPI: 1598473860Individual

Specialties, Licenses & Credentials

Athletic TrainerPrimary

Specialist/Technologist — Athletic Trainer

Code: 2255A2300X

J00235(LA)

Contact & Hours

Address: 2498 PINERIDGE ST
THIBODAUX, LA 70301
Phone: (985) 446-7573

Quick Facts

NPI: 1598473860
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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