MEDICARE: DR. MELISSA ETAGE MANUEL DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	1234	LA

General Provider Information

NPI Number	:	1205044229
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELISSA ETAGE MANUEL DC

Provider Business Mailing Address
First Line	:	PO BOX 1333
Second Line	:
City	:	JENA
State	:	LA
Zip	:	71342-1333
Country	:	US
Telephone Number	:	318-992-2022
Fax Number	:	318-992-2037

Provider Business Practice Location Address
First Line	:	155 NINTH ST STE B
Second Line	:
City	:	JENA
State	:	LA
Zip	:	71342-3900
Country	:	US
Telephone Number	:	318-992-2022
Fax Number	:	318-992-2037

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	10/27/2025

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Directions to “ DR. MELISSA ETAGE MANUEL DC” Practice Location

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