IndividualActive
Andre Shelly
NPI 1093083032 · Durable Medical Equipment & Medical Supplies · Thibodaux, LA
Provider details
- NPI number
- 1093083032
- Entity type
- Individual
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Suppliers
Practice location
301 Brandywine Blvd
Thibodaux, LA 70301-6156
Phone: (404) 798-6741
Approximate (ZIP-level) locationGet directions
Mailing address
301 Brandywine Blvd
Thibodaux, LA 70301-6156
Registry dates
- Enumerated
- 2011-12-06
- Last updated
- 2011-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.