Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carolyn Clark Matherne, LMTLA7483

Individual provider Massage Therapist · NPI 1174030332

Carolyn Clark Matherne, LMTLA7483 is a Massage Therapist in Destrehan, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2018
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Practice location Address checks out

1072 Ormond Boulevard Suite#a
Destrehan, LA 70047-3631
Phone: (985) 307-0977
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 7483 (LA)

Record details

NPI number1174030332
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMTLA7483
Sole proprietorYes
NPI enumeratedJanuary 9, 2018
Last updated in NPPESJanuary 9, 2018