Kate Faulk, LAT, ATC

Individual provider Active NPI Athletic Trainer · Maurice, LA

NPI 1720552201 · NPPES record last updated Apr 25, 2020

Key facts

NPI
1720552201
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
Practice address
11609 La Hwy 699
Maurice, LA 70555-3602
Phone
(337) 288-2000
NPI assigned
Jan 17, 2019
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X Yes

Addresses

Primary practice location

11609 La Hwy 699
Maurice, LA 70555-3602

Mailing address

11102 La Hwy 697
Abbeville, LA 70510-4369

Other providers in Maurice, LA

All providers in Maurice, LA · Athletic Trainer in Louisiana

Sources for this page

Verify at the official NPI Registry.