TRAVIS JAMES ROUSSELLE

METAIRIE, LA
NPI1629577655
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA  310149)
Enumeration Date2018-02-05
Last Update Date2025-06-13
Business Address
TRAVIS JAMES ROUSSELLE
3939 HOUMA BLVD
METAIRIE, LA 70006-2931
Phone number: 504-885-9121
Mailing Address
TRAVIS JAMES ROUSSELLE
5419 EHRET RD
MARRERO, LA 70072-5309
Phone number: