| Theriot Family Chiropractic Center | |
|
612 Rue De Onetta, New Iberia, LA 70563-2163 | |
| (337) 367-6649 | |
| (888) 354-5793 |
| Full Name | Theriot Family Chiropractic Center |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 612 Rue De Onetta, New Iberia, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902067457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 1036 (Louisiana) | Primary |
| Provider Name | Tina M Theriot |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1275517047 PECOS PAC ID: 0840463931 Enrollment ID: I20111107000180 |
| Provider Name | Ryan J Knoll |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1669929188 PECOS PAC ID: 0042599276 Enrollment ID: I20161110002453 |
| Mailing Address | Practice Location Address |
|---|---|
| Theriot Family Chiropractic Center 612 Rue De Onetta, New Iberia, LA 70563-2163 Ph: (337) 367-6649 | Theriot Family Chiropractic Center 612 Rue De Onetta, New Iberia, LA 70563-2163 Ph: (337) 367-6649 |
Dr. Jeremy Broussard, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 612 Rue De Onetta, New Iberia, LA 70563 Phone: 337-367-6649 | |
Dr. Jake M Gary, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1833 E Main St, New Iberia, LA 70560 Phone: 337-367-7463 Fax: 337-367-7461 | |
Mr. Timothy John Rose, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 405 N Lewis St, New Iberia, LA 70563 Phone: 337-364-2225 | |
Darby Chiropractic Apc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 221 N Lewis St, New Iberia, LA 70563 Phone: 337-364-6543 Fax: 337-364-6564 | |
Dr. Tony Lee Oberle, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 715 N Lewis St, Suite A, New Iberia, LA 70563 Phone: 337-364-6552 | |
Dr. Michael Wayne Fontenot Jr., D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 800 W Main St, New Iberia, LA 70560 Phone: 337-367-2567 | |
Dr. Tina M Theriot, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 612 Rue De Onetta, New Iberia, LA 70563 Phone: 337-367-6649 Fax: 888-354-5793 |