Organization
SOURCE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANNER JOSEPH HEBERT DC (CHIROPRACTOR/OWNER)
(337) 550-9981
Entity
Organization
Contact information
Practice address
2443 RICE CAPITOL PKWY., SUITE D, CROWLEY, LA 70526
(337) 550-9981
Mailing address
179 GRANDE RUE, CHURCH POINT, LA 70525-5048
(337) 550-9981
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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