Provider / Organization | NPI | Date Certified |
---|---|---|
BROOKE KATHLEEN DOALSON | 1548922255 | 2021-10-10 |
Brooke Kathleen Doalson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1548922255. Registration indicates Brooke Kathleen Doalson is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Specialist/Technologist (Specialist/Technologist: Athletic Trainer, ) (All Other Specialties & Provider Types, ) (Specialist/Technologist Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers) (Specialist/Technologist, )
Entity Type | Individual |
Provider Name | Brooke Kathleen Doalson M.ED, LAT, ATC |
Practice Office Address | 726 N ACADIA RD THIBODAUX, LA US |
Practice Office Telephone | 9496079522 |
Mailing Address | 108 DREW CT APT A THIBODAUX, LA 703018417 US |
Direct Messaging Address [] | [email protected] | Nicholls State University |
Code | Practice | License No State |
---|---|---|
2255A2300X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist Specialist/Technologist: Athletic Trainer All Other Specialties & Provider Types Specialist/Technologist Athletic Trainer Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist |