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

Mr. Jacob Paul Broussard, ATC, LAT

Individual provider Athletic Trainer · NPI 1184248684

Mr. Jacob Paul Broussard, ATC, LAT is an Athletic Trainer in Erath, Louisiana. Licensed in Louisiana. Registered with an NPI since 2020.

Licensed in
LA
In the registry since
2020
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

808 S Broadway St
Erath, LA 70533-4014
Phone: (337) 937-8451
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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 ATH.200192 (LA)

Record details

NPI number1184248684
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , LAT
Sole proprietorNo
NPI enumeratedJune 1, 2020
Last updated in NPPESJune 1, 2020
Certification dateJune 1, 2020