Healthcare Provider Details

I. General information

NPI: 1821921677
Provider Name (Legal Business Name): CHLOE ROSE FAUCHEUX DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

607 BELLE TERRE BLVD STE B
LA PLACE LA
70068-1736
US

IV. Provider business mailing address

607 BELLE TERRE BLVD STE B
LA PLACE LA
70068-1736
US

V. Phone/Fax

Practice location:
  • Phone: 985-359-5483
  • Fax: 985-359-5484
Mailing address:
  • Phone: 985-359-5483
  • Fax: 985-359-5484

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number12340
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: