Organization
KEITH A TERRO II DC LLC
Active
Other names
Terro Spine and Sport
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH ANTHONY TERRO II DC, CCSP (OWNER)
(337) 443-9300
Entity
Organization
Contact information
Practice address
224 SAINT LANDRY ST STE 2A, LAFAYETTE, LA 70506-3549
(337) 443-9300
(337) 443-9311
Mailing address
224 SAINT LANDRY ST STE 2A, LAFAYETTE, LA 70506-3549
(337) 443-9300
(337) 443-9311
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417
STATE LICENSE NUMBER
LA
Enumeration date
03/14/2019
Last updated
04/24/2019
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