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NATALIA SUMODJO M.S., LAT, ATC, CES
NPI 1851886725
Specialist/Technologist - Athletic Trainer in Lake Charles, LA

Active since June 24, 2018
5200 NELSON RD APT 516, LAKE CHARLES, LA 70605(415) 259-1403 Get Directions Write a Review

NPPES record last updated: June 24, 2018. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Natalia Sumodjo M.s., Lat, Atc, Ces NPPES

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

NATALIA SUMODJO M.S., LAT, ATC, CES (NPI 1851886725) is an individual athletic trainer provider in Lake Charles, Louisiana, licensed in Louisiana (306799) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1851886725
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameNATALIA SUMODJOCredential: M.S., LAT, ATC, CES
Location Address5200 NELSON RD APT 516Lake Charles, LA 70605-0810
Mailing Address5200 Nelson Rd Apt 516Lake Charles, LA 70605-0810 · (415) 259-1403
Phone(415) 259-1403
Sole ProprietorYes
Enumeration DateJune 24, 2018
✔ NPI 1851886725 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 · 306799
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.
5200 NELSON RD APT 516, Lake Charles, LA 70605
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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 Natalia Sumodjo's NPI number?

The NPI number for Natalia Sumodjo is 1851886725. It was assigned to this individual provider in the NPPES registry on June 24, 2018.

Where is Natalia Sumodjo located?

Natalia Sumodjo practices at 5200 Nelson Rd Apt 516, Lake Charles, LA 70605. The listed phone number is (415) 259-1403.

What is Natalia Sumodjo'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 Natalia Sumodjo was last updated on June 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.