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NPI Code Detail

MEDICARE: RACHEL LYNN LEDOUX PT, MPT

MEDICARE:   RACHEL LYNN LEDOUX  PT, MPT
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
1225100000XPhysical Therapist04533LA

General Provider Information

NPI Number : 1891847190
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL LYNN LEDOUX PT, MPT
Provider Business Mailing Address
First Line : 314 VANBURG PL
Second Line :
City : LAFAYETTE
State : LA
Zip : 70508-1831
Country : US
Telephone Number : 337-364-6366
Fax Number : 337-364-6166
Provider Business Practice Location Address
First Line : 484 ALBERTSON PKWY STE A
Second Line :
City : BROUSSARD
State : LA
Zip : 70518-4968
Country : US
Telephone Number : 337-839-8883
Fax Number : 337-839-8939
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2007
Last Update Date : 10/21/2022

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Directions to “ RACHEL LYNN LEDOUX PT, MPT” Practice Location

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