Individual
MRS. JACKIE LINN BRASSEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1857 WOODDALE BLVD, BATON ROUGE, LA 70806-1510
(225) 927-8160
(225) 927-7751
Mailing address
1857 WOODDALE BOULEVARD, BATON ROUGE, LA 70706
(225) 927-8160
(225) 927-7751
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4751-2
LA
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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