Individual
KOURTNEY ALLYSON ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6620 CANAL BLVD, NEW ORLEANS, LA 70124-3212
(504) 313-2871
Mailing address
6620 CANAL BLVD, NEW ORLEANS, LA 70124-3212
(504) 313-2871
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA9578
LA
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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