John Joseph Broussard
John Joseph Broussard is a Physical Therapist in Private Practice in Lafayette, Louisiana. Qualified in 2017, 9 years ago. Practices with Mts-Lgh Therapy Services LLC, a 29-clinician group and accepts Medicare assignment. Licensed in Louisiana.
- Years since qualifying
- 9
- Licensed in
- LA
- In the registry since
- 2017
Practice location Address checks out
2115 Dulles DrLafayette, LA 70506-2652
Phone: (337) 981-9182
Fax: (337) 988-3441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 09615 (LA) |
|---|
Record details
| NPI number | 1033645494 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 4, 2017 |
| Last updated in NPPES | May 4, 2017 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Group practice | Mts-Lgh Therapy Services Llc — 29 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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Mrs. Kim Bullen, PT
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