IndividualActive
Adrienne Thibodeau, LMT
NPI 1669341269 · Massage Therapist · Deridder, LA
Provider details
- NPI number
- 1669341269
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 10349 (LA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1212 N Pine St
Deridder, LA 70634-2822
Phone: (337) 375-1168
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 158
Rosepine, LA 70659-0158
Registry dates
- Enumerated
- 2025-11-03
- Last updated
- 2025-11-03
- Certified
- 2025-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.