Individual
KATIE LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 ST. MARY STREET, THIBODAUX, LA 70301
(985) 446-4881
Mailing address
1115 ST. MARY STREET, THIBODAUX, LA 70301
(985) 446-4881
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3915
LA
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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