NPI 1619493798 · live from the CMS NPI Registry
Haley Nicole Bordelon, LMT, Certified Rolfe
Massage Therapist in Lafayette, LA. National Provider Identifier 1619493798, active.
NPI record
| NPI | 1619493798 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 143 Ridgeway Dr, Lafayette, LA 70503 |
| Practice phone | 318-717-3176 |
| Mailing address | 5349 Highway 107 S, Plaucheville, LA 71362 |
| Enumerated | August 21, 2017 |
| Last updated | March 17, 2018 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | LA7804 (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.