Jed Arseneau, MA LAT, ATC

Individual provider Active NPI Athletic Trainer · Terre Haute, IN

NPI 1043634041 · NPPES record last updated Feb 11, 2014

Key facts

NPI
1043634041
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
36001145A (IN)
Practice address
928 Barton Avenue
Terre Haute, IN 47803
Phone
(812) 243-1478
NPI assigned
Feb 11, 2014
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
36001145AINMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 36001145A IN Yes

Addresses

Primary practice location

928 Barton Avenue
Terre Haute, IN 47803

Mailing address

928 Barton Avenue
Terre Haute, IN 47803

Other providers in Terre Haute, IN

All providers in Terre Haute, IN · Athletic Trainer in Indiana

Sources for this page

Verify at the official NPI Registry.