Individual
BRANDON ALLEN BOUDREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1018 HARDING ST STE 205C, LAFAYETTE, LA 70503-2400
(337) 486-8212
Mailing address
1018 HARDING ST STE 205C, LAFAYETTE, LA 70503-2400
(337) 486-8212
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA9126
LA
Other
Enumeration date
01/08/2026
Last updated
01/08/2026
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