# SPINE HEADACHE AND PAIN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063955763
- **Authorized official:** HUNTER PERRET (CEO)
- **Authorized official phone:** (337) 233-1114

## Contact information

- **Practice address:** 1301 CAMELLIA BLVD, STE 400, LAFAYETTE, LA 70508-7089
- **Practice address phone:** (337) 233-1114
- **Mailing address:** PO BOX 51782, LAFAYETTE, LA 70505-1782

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/29/2016
- **Last updated:** 11/30/2016