Healthcare Provider Details

I. General information

NPI: 1548195738
Provider Name (Legal Business Name): CARAH STUART
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 CAMELLIA BLVD BLDG C
LAFAYETTE LA
70508-6395
US

IV. Provider business mailing address

1600 CAMELLIA BLVD BLDG C
LAFAYETTE LA
70508-6395
US

V. Phone/Fax

Practice location:
  • Phone: 337-456-6148
  • Fax: 337-456-6239
Mailing address:
  • Phone: 337-456-6148
  • Fax: 337-456-6239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberA12421
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: