Kelly Louise Broussard-Jenkins

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00025337 Issued in HI

Practice address

449 E Saint Peter St
New Iberia, LA 70560-3752

Phone

(337) 321-9204

Fax

(337) 321-9210

NPI assigned

Aug 13, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Harada Physical Therapy & Rehab Services Inc., P.S.

  dba Harada Physical Therapy

  • Physical Therapist
  • Oak Harbor, WA
  • NPI 1629066717
  NPD (past)

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1831345610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 E SAINT PETER ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705603752",
            "telephone_number": "337-321-9204",
            "fax_number": "337-321-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 E SAINT PETER ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705603752",
            "telephone_number": "337-321-9204",
            "fax_number": "337-321-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUSSARD-JENKINS",
        "first_name": "KELLY",
        "middle_name": "LOUISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-13",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "MA00025337",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breigh L Foster MD LLC
• Summer Breithaupt, M.S.
• Kristen Brinton
• Brookshire Grocery Company (Super 1 Pharmacy)
• Broussard Hargrave & Shea LLC
• Ajah Broussard
• Carlos A Broussard, CRNA
• Gerald Broussard, R.P.H.
• Harold Joseph Broussard, PA
• James R Broussard, LCSW

• Massage Therapist in New Iberia, LA
• Providers in New Iberia, LA by specialty
• Massage Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.