Organization
NECK AND BACK INSTITUTE OF SWLA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL TODD THERIOT DC (PRESIDENT)
(337) 433-7551
Entity
Organization
Contact information
Practice address
730 BAYOU PINES EAST DR, LAKE CHARLES, LA 70601-7184
(337) 433-7551
(337) 433-6378
Mailing address
730 BAYOU PINES EAST DR, LAKE CHARLES, LA 70601-7184
(337) 433-7551
(337) 433-6378
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
998
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1652954
—
LA
Enumeration date
02/21/2007
Last updated
06/12/2008
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