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

Individual provider Athletic Trainer · NPI 1104570027

Travis Edward Theriot, MS, LAT, ATC is an Athletic Trainer in Lake Charles, Louisiana. Licensed in Louisiana. Registered with an NPI since 2022.

Licensed in
LA
In the registry since
2022
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

1747 Imperial Blvd
Lake Charles, LA 70605-5362
Phone: (337) 721-7236
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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.200301 (LA)

Record details

NPI number1104570027
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , LAT , ATC
Sole proprietorNo
NPI enumeratedFebruary 9, 2022
Last updated in NPPESFebruary 9, 2022
Certification dateFebruary 9, 2022

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