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

Jepthe Soulouque, MSLATATC

Individual provider Athletic Trainer · NPI 1306446489

Jepthe Soulouque, MSLATATC is an Athletic Trainer in West Roxbury, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2020.

Licensed in
MA
In the registry since
2020

Practice location Address checks out

235 Baker St
West Roxbury, MA 02132-4395
Phone: (617) 469-8055
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 30544 (MA)

Record details

NPI number1306446489
Entity typeIndividual (Type 1)
GenderMale
Credentials MSLATATC
Sole proprietorNo
NPI enumeratedOctober 28, 2020
Last updated in NPPESOctober 28, 2020
Certification dateSeptember 25, 2020

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