Healthcare Provider Details

I. General information

NPI: 1174569792
Provider Name (Legal Business Name): MICHELLE SUTTON PLAUCHE' LOTR,CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6632 JONES CREEK RD
BATON ROUGE LA
70817-3054
US

IV. Provider business mailing address

10326 HACKBERRY CT
BATON ROUGE LA
70809-2805
US

V. Phone/Fax

Practice location:
  • Phone: 225-214-5330
  • Fax: 225-214-5333
Mailing address:
  • Phone: 225-293-3617
  • Fax: 225-293-3617

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberZ11579
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOTT.Z11579
License Number StateLA
# 3
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License NumberOTT.Z11579
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: