Organization
NAMASTE MASSAGE & THERAPEUTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKIE REA LANDRENEAU RN, LMT (PRESIDENT)
(318) 730-4517
Entity
Organization
Contact information
Practice address
713 E 7TH AVE, OAKDALE, LA 71463-2724
(318) 730-4517
(866) 834-6104
Mailing address
PO BOX 277, OAKDALE, LA 71463-0277
(318) 730-4517
(866) 834-6104
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
LA4824-01
LA
163WP0000X
Pain Management Registered Nurse
Primary
RN115206
LA
Other
Enumeration date
11/12/2010
Last updated
01/24/2011
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