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

Mr. John Daniel Boudreaux, PT, ATC, LAT

Individual provider Physical Therapist · NPI 1730116617

Mr. John Daniel Boudreaux, PT, ATC, LAT is a Physical Therapist in Lafayette, Louisiana. Licensed in Louisiana. Registered with an NPI since 2006.

Licensed in
LA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

816 Harding St
Lafayette, LA 70503-2320
Phone: (337) 232-3111
Fax: (337) 232-5400
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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 06867 (LA)
Athletic Trainer Taxonomy 2255A2300X · Licence J00368 (LA)

Record details

NPI number1730116617
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , ATC , LAT
Sole proprietorNo
NPI enumeratedJune 27, 2006
Last updated in NPPESAugust 6, 2013

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