Adrienne D Thibodeau, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

10349 Issued in LA

Practice address

1212 N Pine St
Deridder, LA 70634-2822

Phone

(337) 375-1168

NPI assigned

Nov 3, 2025

Last updated

Nov 3, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1762128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1669341269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 158",
            "city": "ROSEPINE",
            "state": "LA",
            "postal_code": "706590158",
            "telephone_number": "337-375-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 N PINE ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706342822",
            "telephone_number": "337-375-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBODEAU",
        "first_name": "ADRIENNE",
        "middle_name": "D",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-03",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "LA",
            "license": "10349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flynn A Taylor I, M.D.
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• Terri Theaux, LPC
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• Thomas E Dobbins MD Professional LLC
• Deborah Michelle Thompson, FNP-C
• Julie E Thorn, FNP
• Thrifty Way Pharmacy of Deridder Inc No 2 (Thrifty Way Pharmacy #2)

• Massage Therapist in Deridder, LA
• Providers in Deridder, LA by specialty
• Massage Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.