# RUUD VUIJSTERS RPT MT PRACTICE OF PAIN MANAGEMENT INC

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

## Provider details

- **NPI number:** 1992792790
- **Authorized official:** MR. RUUD VUIJSTERS PT (PT OWNER)
- **Authorized official phone:** (337) 264-6282

## Contact information

- **Practice address:** 218 RUE BEAUREGARD, STE. E, LAFAYETTE, LA 70508-3284
- **Practice address phone:** (337) 264-6282
- **Mailing address:** 218 RUE BEAUREGARD, STE. E, LAFAYETTE, LA 70508-3284
- **Mailing address phone:** (337) 264-6282

## Taxonomy

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

## Other

- **Enumeration date:** 10/05/2005
- **Last updated:** 06/16/2011