Individual provider · Type 1 NPI
Carolyn Clark Matherne, LMT LA#7483
Massage Therapist · Destrehan, LA
NPI number
1174030332
Active
Practice location
1072 Ormond Boulevard, SUITE#A
Destrehan, LA 70047-3631
Mailing address
546 Clayton Dr
Norco, LA 70079-2326
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 7483 (LA) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
About NPI 1174030332
Carolyn Clark Matherne, LMT LA#7483's National Provider Identifier is 1174030332, issued on Jan 9, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Destrehan, LA. The record was last updated on Jan 9, 2018.