Individual
DR. TINA M THERIOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
612 RUE DE ONETTA, NEW IBERIA, LA 70563-2163
(337) 367-6649
(888) 354-5793
Mailing address
612 RUE DE ONETTA, NEW IBERIA, LA 70563-2163
(337) 367-6649
(888) 354-5793
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1036
LA
Other
Enumeration date
12/05/2005
Last updated
10/22/2008
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