Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brent Theriault, ATC, LAT

Individual provider Athletic Trainer · NPI 1598332090

Brent Theriault, ATC, LAT is an Athletic Trainer in Bethlehem, Pennsylvania. Licensed in New Jersey and Pennsylvania. Registered with an NPI since 2021.

Licensed in
NJ, PA
In the registry since
2021
Specialties on file
2
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

3149 Chester Ave
Bethlehem, PA 18020-2866
Phone: (609) 350-5998
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence RT007713 (PA)
Athletic Trainer Taxonomy 2255A2300X · Licence 25MT00245400 (NJ)

Record details

NPI number1598332090
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , LAT
Sole proprietorNo
NPI enumeratedJune 4, 2021
Last updated in NPPESJune 4, 2021
Certification dateJune 4, 2021

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