IndividualActive
Reginald Guidry
NPI 1356915581 · Home Modifications Contractor · Tickfaw, LA
Provider details
- NPI number
- 1356915581
- Entity type
- Individual
- Primary specialty
- Home Modifications ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
48468 Whiskey Ln
Tickfaw, LA 70466-2748
Phone: (985) 956-0841
Approximate (ZIP-level) locationGet directions
Mailing address
48468 Whiskey Ln
Tickfaw, LA 70466-2748
Registry dates
- Enumerated
- 2021-05-12
- Last updated
- 2021-05-12
- Certified
- 2021-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.