Individual provider · Type 1 NPI

Michael Broussard, PT

Specialist · Zachary, LA

NPI number 1063966026 Active

Practice location

1326 Church St
Zachary, LA 70791-2743

Call (225) 654-8208 Map

Fax (225) 654-4642

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X09455 (LA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1063966026

Michael Broussard, PT's National Provider Identifier is 1063966026, issued on Aug 8, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Zachary, LA. The record was last updated on Aug 8, 2016.