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

GRANT MICHAEL THIBODEAUX, PT, DPT

Active

GRANT MICHAEL THIBODEAUX, PT, DPT is a Physical Therapy Assistant healthcare provider located in RACELAND, Louisiana. NPI 1811462351 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · RACELAND, LA

Registration Details

NPI Number
1811462351
Provider Type
Individual
Gender
Male
NPI Issued
Oct 11, 2018 (7.8476214527454 yrs)
Last Updated
Oct 11, 2018
Licenses
1302513 (TX)
PT09868 (LA)

Practice Information

Address
120 WHITE ROSE DR
RACELAND, LA, 703942644
Browse LA providers · Browse ZIP 70394
Phone
9855329662
Fax
9855323942
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in RACELAND, LA

Name Credential NPI
MRS. THERESA BOUQUET BECNEL P.T. 1073608311
REENA GOPINATHAN PT 1548323736
JENNIFER MATHERNE PLAISANCE PT, DPT 1093872459
FREDDIE SAMUEL BREAUX III PT 1578755542
MARCI DILL ELLENDER 1447564331
CHRISTOPHER DANIEL BLANCHARD DPT 1184984924
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.