NPI 1063955763

Spine Headache and Pain, LLC

Organisation Physical Medicine & Rehabilitation Physician Lafayette, LA

Practice location

Address: 1301 Camellia Blvd STE 400, Lafayette, LA 70508-7089
Phone: (337) 233-1114
Mailing address: PO Box 51782, Lafayette, LA 70505-1782

Authorised official

Name: Hunter Perret
Title: Ceo
Phone: (337) 233-1114

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X

Other Physical Medicine & Rehabilitation providers in Louisiana →

Registry record

NPI: 1063955763
Entity type: Organization
NPI issued: 29 Nov 2016
Record last updated: 30 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.