Individual
ADRIENNE D THIBODEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1212 N PINE ST, DERIDDER, LA 70634-2822
(337) 375-1168
Mailing address
PO BOX 158, ROSEPINE, LA 70659-0158
(337) 375-1168
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10349
LA
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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