TRAVIS EDWARD THERIOT MS, LAT, ATC
NPI 1104570027
Specialist/Technologist - Athletic Trainer in Lake Charles, LA

Q: What is Travis Theriot's NPI number?

The NPI number for Travis Theriot is 1104570027. It was assigned to this individual provider in the NPPES registry on February 9, 2022.

Q: What is Travis Theriot's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Travis Theriot was last updated on February 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 09, 2022

1747 IMPERIAL BLVD, LAKE CHARLES, LA 70605(337) 721-7236 Get Directions Write a Review

NPPES record last updated: February 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Travis Edward Theriot Ms, Lat, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRAVIS EDWARD THERIOT MS, LAT, ATC (NPI 1104570027) is an individual athletic trainer provider in Lake Charles, Louisiana, licensed in Louisiana (ATH.200301) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1104570027

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameTRAVIS EDWARD THERIOTCredential: MS, LAT, ATC

Location Address1747 IMPERIAL BLVDLake Charles, LA 70605-5362

Mailing Address1747 Imperial BlvdLake Charles, LA 70605-5362 · (337) 329-3923

Phone(337) 721-7236

Sole ProprietorNo

Enumeration DateFebruary 9, 2022

NPPES CertifiedFebruary 9, 2022

✔ NPI 1104570027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in LA · ATH.200301

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

1747 IMPERIAL BLVD, Lake Charles, LA 70605

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