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

Individual provider Athletic Trainer · NPI 1851886725

Natalia Sumodjo, MS, LAT, ATC, CES is an Athletic Trainer in Lake Charles, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2018
What do these letters mean?
MS — Master of Science
A graduate science degree.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

5200 Nelson Rd Apt 516
Lake Charles, LA 70605-0810
Phone: (415) 259-1403
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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 306799 (LA)

Record details

NPI number1851886725
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LAT , ATC , CES
Sole proprietorYes
NPI enumeratedJune 24, 2018
Last updated in NPPESJune 24, 2018

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