Wellformed AI

NPI 1972359362 · live from the CMS NPI Registry

Dominique Blanchard

Massage Therapist in Houma, LA. National Provider Identifier 1972359362, active.

NPI record

NPI1972359362 Type 1 · individual
StatusActive
Primary specialtyMassage Therapist 225700000X
Practice location309 Goode St, Houma, LA 70360
Practice phone985-413-0297
Mailing address119 Fahey St, Houma, LA 70360
EnumeratedApril 25, 2024
Last updatedApril 25, 2024
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Massage Therapist primary225700000X3386 (LA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.