Individual
RIKI TERESA LACOSTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MMP
Contact information
Practice address
261 PLANTATION RD, HAHNVILLE, LA 70057-2037
(985) 722-6961
Mailing address
261 PLANTATION RD, HAHNVILLE, LA 70057-2037
(985) 722-6961
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA4745
LA
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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