Individual provider · Type 1 NPI
Ryan Joseph Vidrine, DC
Chiropractor · Lafayette, LA
NPI number
1407994320
Active
Practice location
326 Settlers Trace Blvd # 201-C
Lafayette, LA 70508-6091
Fax (337) 270-0901
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 1284 (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 1407994320
Ryan Joseph Vidrine, DC's National Provider Identifier is 1407994320, issued on Feb 2, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Lafayette, LA. The record was last updated on Aug 26, 2021.