# THE FASCIA PERFORMANCE GROUP, LLC

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

## Provider details

- **NPI number:** 1336959766
- **Authorized official:** JACQUES COURSEAULT MD (CEO)
- **Authorized official phone:** (504) 386-3488

## Contact information

- **Practice address:** 1600 SAINT CHARLES AVE \# 1B, NEW ORLEANS, LA 70130-4436
- **Practice address phone:** (504) 704-1254
- **Practice address fax:** (866) 572-0930
- **Mailing address:** 1600 SAINT CHARLES AVE \# 102, NEW ORLEANS, LA 70130-4436
- **Mailing address phone:** (504) 386-3488
- **Mailing address fax:** (800) 471-1536

## Taxonomy

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

## Other

- **Enumeration date:** 01/08/2025
- **Last updated:** 04/06/2026