Austine Abshire

Individual provider Active NPI Massage Therapist · Lafayette, LA

NPI 1447074414 · NPPES record last updated Nov 14, 2024

Key facts

NPI
1447074414
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
LA10055 (LA)
Practice address
340 Kaliste Saloom Rd
Lafayette, LA 70508-3859
Phone
(337) 235-0575
NPI assigned
Nov 14, 2024
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LA10055LAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Health Center of Acadiana Past
since Nov 17, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X LA10055 LA Yes

Addresses

Primary practice location

340 Kaliste Saloom Rd
Lafayette, LA 70508-3859

Mailing address

340 Kaliste Saloom Rd
Lafayette, LA 70508-3859
Phone (337) 235-0575

Other providers in Lafayette, LA

All providers in Lafayette, LA · Massage Therapist in Louisiana

Sources for this page

Verify at the official NPI Registry.