DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL BROUSSARD, PT

Active Sole Proprietor

Specialist · ZACHARY, LA

Registration Details

NPI Number
1063966026
Provider Type
Individual
Gender
Male
NPI Issued
Aug 8, 2016 (9.7228201048695 yrs)
Last Updated
Aug 8, 2016
License
09455 (LA)
Sole Proprietor
Yes

Practice Information

Address
1326 CHURCH ST
ZACHARY, LA, 707912743
Browse LA providers · Browse ZIP 70791
Phone
2256548208
Fax
2256544642
Primary Specialty
Specialist
174400000X

Other Specialist Providers in ZACHARY, LA

Name Credential NPI
MRS. CHRISTIE SULLIVAN HEATH P.T. 1558317511
MRS. MICHEL MARTIN BEARD LOTR, CHT 1447290531
DR. GERALD V HANNAN M.D. 1265877229
CONSTANCE HALL-CARTER 1144605379
KELLY WEST PT 1245601319
CATHERINE GILL MOT 1740636430
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.