Healthcare Provider Details

I. General information

NPI: 1841137486
Provider Name (Legal Business Name): JENAE' MICHELLE MARCEL DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 LAURA DR STE D
THIBODAUX LA
70301-2992
US

IV. Provider business mailing address

114 LAURA DR STE D
THIBODAUX LA
70301-2992
US

V. Phone/Fax

Practice location:
  • Phone: 985-772-3817
  • Fax:
Mailing address:
  • Phone: 985-772-3817
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2080
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: