Individual
MR. JIMMY AARON CROSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
5324 CYPRESS ST, SUITE B, WEST MONROE, LA 71291-7694
(318) 396-1616
Mailing address
3110 BERT KOUNS INDUSTRIAL LOOP #11, STE G, SHREVEPORT, LA 71118
(318) 686-1186
(318) 686-1053
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
LA7163
LA
225700000X
Massage Therapist
LA7163
LA
Other
Enumeration date
05/07/2014
Last updated
05/07/2014
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