Kamilla Fontenot
Individual provider Active NPI Massage Therapist · Mamou, LA
NPI 1053280347 · NPPES record last updated Nov 4, 2025
Key facts
- NPI
- 1053280347
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- LA9868 (LA)
- Practice address
- 220 Rue Jolie Blonde St
Mamou, LA 70554 - Phone
- (337) 831-3239
- NPI assigned
- Nov 4, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LA9868 | LA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | LA9868 | LA | Yes |
Addresses
Primary practice location
220 Rue Jolie Blonde St
Mamou, LA 70554
Mailing address
220 Rue Jolie Blonde St
Mamou, LA 70554
Phone (337) 831-3239
Other providers in Mamou, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.