Individual provider · Type 1 NPI
Benjamin Todd Thibodeaux, DC
Chiropractor · Breaux Bridge, LA
NPI number
1295832624
Active
Practice location
1501 Rees St
Breaux Bridge, LA 70517-4309
Fax (337) 332-6097
Mailing address
PO Box 97
Breaux Bridge, LA 70517-0097
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 1278 (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.
2 other providers at this address
Other chiropractor providers in Breaux Bridge
About NPI 1295832624
Benjamin Todd Thibodeaux, DC's National Provider Identifier is 1295832624, issued on Sep 20, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Breaux Bridge, LA. The record was last updated on Dec 7, 2011.