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MR. BRENT DAVID BOUDREAUX ATC
NPI 1548477573
Specialist/Technologist - Athletic Trainer in Duson, LA

Active since May 17, 2007
104 DENETTE DR, DUSON, LA 70529(337) 344-3400 Get Directions Write a Review

NPPES record last updated: January 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Brent David Boudreaux Atc NPPES

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

MR. BRENT DAVID BOUDREAUX ATC (NPI 1548477573) is an individual athletic trainer provider in Duson, Louisiana, licensed in Louisiana (ATH.J00109) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1548477573
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMR. BRENT DAVID BOUDREAUXCredential: ATC
Location Address104 DENETTE DRDuson, LA 70529-3750
Mailing Address104 Denette DrDuson, LA 70529-3750 · (337) 344-3400
Phone(337) 344-3400
Sole ProprietorYes
Enumeration DateMay 17, 2007
Last NPPES UpdateJanuary 10, 2021
NPPES CertifiedJanuary 10, 2021
✔ NPI 1548477573 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.J00109
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.
104 DENETTE DR, Duson, LA 70529
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Other Identifiers 2

OtherATH.J00109LA · La State Board Of Medical Examiners
Other069102490Boc

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 Brent Boudreaux's NPI number?

The NPI number for Brent Boudreaux is 1548477573. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Brent Boudreaux located?

Brent Boudreaux practices at 104 Denette Dr, Duson, LA 70529. The listed phone number is (337) 344-3400.

What is Brent Boudreaux'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 Brent Boudreaux was last updated on January 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.