Evan Denoux, ATC, LAT Valid NPI

Individual provider · Athletic Trainer · Hattiesburg, MS

NPI

1477065779

Type

Individual (Type 1)

Primary specialty

Athletic Trainer (Specialist/Technologist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

2255A2300X

License number

AT0832 (MS)

Sex

Male

Sole proprietor

Yes

Enumerated

2017-10-26

Last updated

2017-10-26