Individual
TODD MELANCON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT LA8793
Contact information
Practice address
1509 GOVERNMENT ST APT 208, BATON ROUGE, LA 70802-4088
(225) 328-2328
Mailing address
1509 GOVERNMENT ST APT 208, BATON ROUGE, LA 70802-4088
(225) 328-2328
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA8793
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LA8793
LOUISIANA BOARD OF MASSAGE THEARAPY
LA
Enumeration date
02/26/2025
Last updated
02/26/2025
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