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

Russell Carlisle, ATC, LAT

Individual provider Athletic Trainer · NPI 1578988218

Russell Carlisle, ATC, LAT is an Athletic Trainer in Thibodaux, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2014
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.

See every abbreviation used in this directory →

Practice location Address checks out

602 N Acadia Rd
Thibodaux, LA 70301-4847
Phone: (985) 447-5500
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence ATH.200033 (LA)

Record details

NPI number1578988218
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , LAT
Sole proprietorYes
NPI enumeratedMarch 4, 2014
Last updated in NPPESMarch 4, 2014

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