Individual provider · Type 1 NPI
Johnathan Ory Boudreaux, DC
Chiropractor · Monroe, LA
NPI number
1114539418
Active
Practice location
3219 Sterlington Rd
Monroe, LA 71203-2519
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 1913 (LA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1114539418
Johnathan Ory Boudreaux, DC's National Provider Identifier is 1114539418, issued on Aug 18, 2020. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Monroe, LA. The record was last updated on Aug 18, 2020.