NPI 1972328557 · live from the CMS NPI Registry
Patricia Broussard
Massage Therapist in Lafayette, LA. National Provider Identifier 1972328557, active.
NPI record
| NPI | 1972328557 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 340 Kaliste Saloom Rd, Lafayette, LA 70508 |
| Practice phone | 337-235-0575 |
| Enumerated | November 19, 2024 |
| Last updated | November 19, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | LA1693 (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.