Individual
EVERETTE J CORMIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1103 KALISTE SALOOM RD, SUITE 304, LAFAYETTE, LA 70508-5783
(337) 988-5646
(337) 988-4298
Mailing address
409 NORMANDY RD, LAFAYETTE, LA 70503-4373
(337) 224-1474
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4163
LA
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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