Individual
KEVIN JAMES THIBODEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
225 CHAMPAGNE BLVD, BREAUX BRIDGE, LA 70517-3733
(337) 442-6506
Mailing address
225 CHAMPAGNE BLVD, BREAUX BRIDGE, LA 70517-3733
(337) 442-6506
(337) 442-6505
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0121
LA
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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