Organization
CAJUN SPINE AND SPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTIN L. BOUDREAUX D.C. (OWNER)
(337) 261-2669
Entity
Organization
Contact information
Practice address
1602 W PINHOOK RD, SUITE 211, LAFAYETTE, LA 70508-3735
(337) 261-2669
Mailing address
1602 W PINHOOK RD, SUITE 211, LAFAYETTE, LA 70508-3735
(337) 261-2669
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1467
LA
Other
Enumeration date
06/19/2008
Last updated
06/19/2008
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