Organization
BRAVO THERAPY SERVICES, INC.
Active
Organization
BRAVO THERAPY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRK BRAVO (OWNER PRESIDENT)
(337) 406-0712
Entity
Organization
Contact information
Practice address
100 WILLIAM O STUTES ST, SUITE A, LAFAYETTE, LA 70506-7211
(337) 406-0712
(337) 406-0715
Mailing address
100 WILLIAM O STUTES ST, SUITE A, LAFAYETTE, LA 70506-7211
(337) 406-0712
(337) 406-0715
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225700000X
Massage Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F7950
BLUE CROSS BLUE SHIELD
LA
Enumeration date
02/22/2007
Last updated
09/11/2025
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