Healthcare Provider Details

I. General information

NPI: 1053225862
Provider Name (Legal Business Name): RECOVERY CHIROMED OF HOUMA
Entity Type: Organization
Gender:
Sole Proprietor:

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

712 BELANGER ST
HOUMA LA
70360-4406
US

IV. Provider business mailing address

712 BELANGER ST
HOUMA LA
70360-4406
US

V. Phone/Fax

Practice location:
  • Phone: 985-804-7530
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateNULL

VIII. Authorized Official

Name: JAMES GREGORY
Title or Position: OWNER
Credential: DC
Phone: 985-804-7530