Healthcare Provider Details

I. General information

NPI: 1093629099
Provider Name (Legal Business Name): TERRINKA WILLIAMS
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1605 W CHURCH ST
HAMMOND LA
70401-2908
US

IV. Provider business mailing address

1605 W CHURCH ST
HAMMOND LA
70401-2908
US

V. Phone/Fax

Practice location:
  • Phone: 985-400-1646
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: