# TRENT MATTHEW BRASSEAUX, PT LLC

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

## Provider details

- **NPI number:** 1205627700
- **Authorized official:** TRENT MATTHEW BRASSEAUX PT, DPT (OWNER/PHYSICAL THERAPIST)
- **Authorized official phone:** (337) 443-9880

## Contact information

- **Practice address:** 431 RENA DR, LAFAYETTE, LA 70503-4351
- **Practice address phone:** (337) 443-9880
- **Practice address fax:** (337) 443-9881
- **Mailing address:** 431 RENA DR, LAFAYETTE, LA 70503-4351
- **Mailing address phone:** (337) 443-9880
- **Mailing address fax:** (337) 443-9881

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 05/14/2025
- **Last updated:** 05/14/2025