IndividualActive
Dustin Roussel
NPI 1194198267 · Physical Therapy Clinic/Center · Metairie, LA
Provider details
- NPI number
- 1194198267
- Entity type
- Individual
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- 09062R (LA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3939 Houma Blvd
Ste 17
Metairie, LA 70006-2931
Phone: (504) 885-9121
Approximate (ZIP-level) locationGet directions
Mailing address
1325 3rd St
Lutcher, LA 70071-5517
Registry dates
- Enumerated
- 2015-11-11
- Last updated
- 2015-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.