| Kelly Louise Broussard-jenkins, | |
|
449 E Saint Peter St, New Iberia, LA 70560-3752 | |
| (337) 321-9204 | |
| (337) 321-9210 |
| Full Name | Kelly Louise Broussard-jenkins |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 449 E Saint Peter St, New Iberia, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831345610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MA00025337 (Hawaii) | Primary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Louise Broussard-jenkins, 449 E Saint Peter St, New Iberia, LA 70560-3752 Ph: (337) 321-9204 | Kelly Louise Broussard-jenkins, 449 E Saint Peter St, New Iberia, LA 70560-3752 Ph: (337) 321-9204 |
Katie Hebert, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 310 W Main St, New Iberia, LA 70560 Phone: 337-789-7078 | |
Lori E Scott Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 221 N Lewis St, New Iberia, LA 70563 Phone: 337-374-3212 | |
Laura L Collins, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 342 Magnolia Ave, New Iberia, LA 70563 Phone: 337-224-8487 |