Individual
MICHAEL TODD THERIOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
730 BAYOU PINES EAST DR, STE A, LAKE CHARLES, LA 70601-7184
(337) 433-7551
(337) 433-6378
Mailing address
730 BAYOU PINES EAST DR, STE A, 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
09/20/2006
Last updated
01/08/2013
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