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

Mr. Terrance Broussard

Individual provider Athletic Trainer · NPI 1205232550

Mr. Terrance Broussard is an Athletic Trainer in Fishers, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2014
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Practice location Address checks out

12672 Federal Pl
Fishers, IN 46037-7833
Phone: (317) 374-4102
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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 991572 (IN)

Record details

NPI number1205232550
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 14, 2014
Last updated in NPPESNovember 14, 2014

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