Individual
SHANE HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
826 FOCIS ST, METAIRIE, LA 70005-2200
(504) 456-8560
(504) 456-8562
Mailing address
826 FOCIS ST, METAIRIE, LA 70005-2200
(504) 456-8560
(504) 456-8562
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1676
LA
111NR0400X
Rehabilitation Chiropractor
1676
LA
Other
Enumeration date
07/30/2014
Last updated
10/29/2018
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