NPI 1578880753 · live from the CMS NPI Registry
Laverne Broussard
Reflexologist in Metairie, LA. National Provider Identifier 1578880753, active.
NPI record
| NPI | 1578880753 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Reflexologist 173C00000X |
| Practice location | 4300 S. I-10 Service Rd, Ste 101b, Metairie, LA 70001 |
| Practice phone | 504-606-8738 |
| Mailing address | 424 Holmes Blvd, Terrytown, LA 70056 |
| Enumerated | April 27, 2010 |
| Last updated | April 27, 2010 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Reflexologist primary | 173C00000X | — (FL) |
| Massage Therapist | 225700000X | 4320 (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.