Individual provider · Type 1 NPI
Latresia Grace Broussard, DC
Chiropractor · New Roads, LA
NPI number
1679648109
Active
Practice location
331 Hospital Rd
New Roads, LA 70760-2622
Fax (225) 618-8028
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 1307 (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.
Another provider at this address
About NPI 1679648109
Latresia Grace Broussard, DC's National Provider Identifier is 1679648109, issued on Nov 21, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in New Roads, LA. The record was last updated on Jul 8, 2007.