NPI 1215261862

Jillian L Ardoin, LMT

Practitioner Massage Therapist Lake Charles, LA

Practice location

Address: 1528 E Prien Lake Rd STE B, Lake Charles, LA 70601-8978
Phone: (337) 479-2057

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 4225 (LA)

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Registry record

NPI: 1215261862
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Sep 2009
Record last updated: 30 Sep 2009

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.