Individual
MISS AMANDA CLARE THIBODEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 COOLIDGE BLVD, LAFAYETTE, LA 70503-2436
(337) 289-0070
Mailing address
108 ALONDA DR, LAFAYETTE, LA 70503-4221
(337) 349-9987
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA4329
LA
Other
Enumeration date
06/03/2013
Last updated
06/03/2013
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