Individual
MR. MICHAEL WESLEY DRIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
441 MOOSA BLVD, EUNICE, LA 70535-3627
(337) 457-8164
(337) 546-6515
Mailing address
441 MOOSA BLVD, EUNICE, LA 70535-3627
(337) 457-8164
(337) 546-6515
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04675
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104167
—
LA
05
—
1502579
—
LA
Enumeration date
10/05/2005
Last updated
04/28/2008
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