Individual
STACY FORRESTIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
925 HARDING ST, LAFAYETTE, LA 70503-2409
(337) 501-1721
Mailing address
925 HARDING ST, LAFAYETTE, LA 70503-2409
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA3864
LA
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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