IndividualActive
Amanda Minyard Vidrine, PTA
NPI 1336362664 · Physical Therapy Assistant · Opelousas, LA
Provider details
- NPI number
- 1336362664
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- A6821 (LA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4027 I 49 S Service Rd
Opelousas, LA 70570-0757
Phone: (337) 948-4212
Fax: (337) 942-9979
Approximate (ZIP-level) locationGet directions
Mailing address
420 W Pinhook Rd
Lafayette, LA 70503-2131
Registry dates
- Enumerated
- 2007-04-11
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.