Individual
BAILEY KIDDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
340 KALISTE SALOOM RD, LAFAYETTE, LA 70508-3859
(337) 235-0575
Mailing address
340 KALISTE SALOOM RD, LAFAYETTE, LA 70508-3859
(337) 235-0575
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA6873
LA
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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