NPI 1972832764 · live from the CMS NPI Registry
Everette J Cormier, LMT
Massage Therapist in Lafayette, LA. National Provider Identifier 1972832764, active.
NPI record
| NPI | 1972832764 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 1103 Kaliste Saloom Rd, Suite 304, Lafayette, LA 70508 |
| Practice phone | 337-988-5646 |
| Mailing address | 409 Normandy Rd, Lafayette, LA 70503 |
| Enumerated | December 8, 2009 |
| Last updated | December 8, 2009 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 4163 (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.