IndividualActive
Tarena Marshall, LAT, ATC
NPI 1730873753 · Sports Medicine (Family Medicine) Physician · Grambling, LA
Provider details
- NPI number
- 1730873753
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- LAT, ATC
- Sex
- Female
- Sole proprietor
- No
- License
- 320938 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
403 Main St
Grambling, LA 71245-2715
Phone: (601) 382-5170
Approximate (ZIP-level) locationGet directions
Mailing address
110 Faith Ln
Mendenhall, MS 39114-5831
Registry dates
- Enumerated
- 2023-06-05
- Last updated
- 2023-06-05
- Certified
- 2023-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.