Sheila Demouchet
Individual provider Active NPI Massage Therapist · Broussard, LA
NPI 1952013245 · NPPES record last updated Dec 19, 2022
Key facts
- NPI
- 1952013245
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 9427 (LA)
- Practice address
- 2918 Melancon Rd
Broussard, LA 70518-8254 - Phone
- (337) 280-4849
- NPI assigned
- Dec 19, 2022
- 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 |
|---|---|---|---|
| 9427 | LA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 9427 | LA | Yes |
Addresses
Primary practice location
2918 Melancon Rd
Broussard, LA 70518-8254
Mailing address
2918 Melancon Rd
Broussard, LA 70518-8254
Phone (337) 280-4849
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All providers in Broussard, LA · Massage Therapist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2022. 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.