BRENT THERIAULT (ATC) – Athletic Trainer, NPI 1740715192
Athletic Trainer
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for BRENT THERIAULT (ATC)
18173 CHARTER AVE
PORT CHARLOTTE, FL 339541716
Phone:
Type: Mailing
Charlotte Lowder Student Athlete Development Center, 392, South Donahue Drive, Woodfield, Auburn, Lee County, Alabama, 36849, United States
AUBURN, AL 368495321
Phone: (334) 844-4750
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33954)
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