Individual
CHASITY HERRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
101 TULLY DR, BASTROP, LA 71220-3451
(318) 331-8811
Mailing address
101 TULLY DR, BASTROP, LA 71220-3451
(318) 331-8811
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA7503
LA
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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