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

CODI BOUDREAUX WAGUESPACK, DPT

Active

CODI BOUDREAUX WAGUESPACK, DPT is a Physical Therapy Assistant healthcare provider located in THIBODAUX, Louisiana. NPI 1740599588 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · THIBODAUX, LA

Registration Details

NPI Number
1740599588
Provider Type
Individual
Gender
Female
NPI Issued
Sep 28, 2010 (15.870817246807 yrs)
Last Updated
Feb 20, 2013
License
07954 (LA)

Practice Information

Address
508 N ACADIA RD
THIBODAUX, LA, 703014862
Browse LA providers · Browse ZIP 70301
Phone
9854485888
Fax
9854480589
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in THIBODAUX, LA

Name Credential NPI
MR. EDDIE HIMEL JR. P.T. 1700859758
MR. JOHN L. DAIGLE P.T. 1700859568
MR. LEE JOSEPH CORTEZ P.T. 1316909427
MRS. SUSAN CARR HAY PT 1043273899
CHET STERNFELS MPT 1992760102
JASON JONES 1689630311
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.