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MR. JACOB PAUL BROUSSARD ATC, LAT
NPI 1184248684
Specialist/Technologist - Athletic Trainer in Erath, LA

Active since June 01, 2020
808 S BROADWAY ST, ERATH, LA 70533(337) 937-8451 Get Directions Write a Review

NPPES record last updated: June 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jacob Paul Broussard Atc, Lat NPPES

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

MR. JACOB PAUL BROUSSARD ATC, LAT (NPI 1184248684) is an individual athletic trainer provider in Erath, Louisiana, licensed in Louisiana (ATH.200192) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1184248684
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMR. JACOB PAUL BROUSSARDCredential: ATC, LAT
Location Address808 S BROADWAY STErath, LA 70533-4014
Mailing Address408 Pear Tree CirBroussard, LA 70518-7237
Phone(337) 937-8451
Sole ProprietorNo
Enumeration DateJune 1, 2020
NPPES CertifiedJune 1, 2020
✔ NPI 1184248684 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.200192
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.
808 S BROADWAY ST, Erath, LA 70533
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Broussard's NPI number?

The NPI number for Jacob Broussard is 1184248684. It was assigned to this individual provider in the NPPES registry on June 1, 2020.

Where is Jacob Broussard located?

Jacob Broussard practices at 808 S Broadway St, Erath, LA 70533. The listed phone number is (337) 937-8451.

What is Jacob Broussard's specialty?

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

When was this NPI record last updated?

The NPPES record for Jacob Broussard was last updated on June 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.