MRS. JACKIE LINN BRASSEAUX


Address: 1857 Wooddale Blvd, Baton Rouge, LA 70806-1510
Phone: 2259278160

MRS. JACKIE LINN BRASSEAUX (NPI# 1255615290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255615290
Entity Type Individual
Full Name MRS. JACKIE LINN BRASSEAUX
Credential LMT
Practice Address 1857 Wooddale Blvd
Baton Rouge
LA 70806-1510
Mailing Address 1857 Wooddale Boulevard
Baton Rouge
LA 70706
Practice Telephone 2259278160
Practice Fax Number 2259277751
Mailing Telephone 2259278160
Mailing Fax Number 2259277751
Enumeration Date 2011-10-10
Last Update Date 2011-10-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist 4751-2 LA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 1857 WOODDALE BLVD
City BATON ROUGE
State LA
Zip Code 70806-1510

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912086992 Gregory Floyd Nelson Chiropractor 1857 Wooddale Blvd, Baton Rouge, LA 70806-1510 2006-11-02
1043726060 Joseph Harlan Nelson Massage Therapist 1857 Wooddale Blvd, Baton Rouge, LA 70806-1510 2017-12-28
1710260674 Penny Mclaughlin Pendarvis Massage Therapist 1857 Wooddale Blvd, Baton Rouge, LA 70806-1510 2011-09-27
1053633743 Vanessa Jayne Aucoin Chiropractor 1857 Wooddale Blvd, Baton Rouge, LA 70806-1510 2010-02-22
1689873424 Ozark Chiropractic Clinic Chiropractor 1857 Wooddale Blvd, Baton Rouge, LA 70806-1510 2007-07-12
1639242985 Mark Stephen Aucoin Chiropractor 1857 Wooddale Blvd, Baton Rouge, LA 70806-1510 2006-11-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467064790 Horizon Network LLC Community/Behavioral Health 921 Lobdell Blvd Suite D, Baton Rouge, LA 70806 2020-08-18
1093324220 Raghu Rudraraju Student in an Organized Health Care Education/Training Program 3401 North Boulevard Baton Rouge General Mid City Medi, Suite 130, Baton Rouge, LA 70806 2020-07-23
1619595584 Brown's Pharmacy, LLC Pharmacy 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 2020-07-08
1497374847 Yara Mouawad Student in an Organized Health Care Education/Training Program 3401 North Boulevard, Suite 130, Baton Rouge, LA 70806 2020-04-15
1396364527 Sai Samyuktha Bandaru Student in an Organized Health Care Education/Training Program Brg Mid City Medicine Clinic, 3401 North Boulevard, Sui, Baton Rouge, LA 70806 2020-04-08
1588299812 Iraneeka S Gustave Peer Specialist Kelwood Ave, 8326 Kelwood Ave, Baton Rouge, LA 70806 2020-03-06
1518522192 Silpita Katragadda Student in an Organized Health Care Education/Training Program 3401 North Boulevard, Brg Midcity Medicine Clinic, Suite 130, Baton Rouge, LA 70806 2019-05-08
1437713997 Dental Solutions, LLC Dentist 5629 Government St, Baton Rouge, LA 70806 2019-04-30
1699249516 Shea Lafountain Counselor 624 Connell's Park Lane, Baton Rouge, LA 70806 2019-01-14
1033682802 Genesis Specialty Groups, LLC Clinic/Center 778 Chevelle Drive, Baton Rouge, LA 70806 2019-01-04
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Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780283085 Jennifer Greenup Massage Therapist 9270 Siegen Ln Bldg 602, Baton Rouge, LA 70810-0935 2020-10-19
1922615111 Juloni A Rodriguez Massage Therapist 1221 Arcadia Dr, Baton Rouge, LA 70810-2641 2020-09-30
1386262970 Megan Mackay Massage Therapist 701 Lakeland Dr Apt 3, Baton Rouge, LA 70802-4447 2020-07-09
1760019913 Chanice Unchelle Boudreaux Massage Therapist 11758 S Harrells Ferry Rd Ste B, Baton Rouge, LA 70816-2365 2020-03-26
1598396210 Lateefah Hills Massage Therapist 8674 Quarters Lake Rd # 7, Baton Rouge, LA 70809-2172 2020-01-31
1871155085 Marla Michelle Harper Massage Therapist 9766 Jefferson Hwy Ste 101, Baton Rouge, LA 70809-2716 2019-07-08
1881157055 Tremeca Lakia Roberson Massage Therapist 305 France St Ste A, Baton Rouge, LA 70802-6102 2019-04-13
1740756626 Janeth Kay Debenedetto Massage Therapist 4600 Sherwood Common Blvd Ste 403, Baton Rouge, LA 70816-4890 2018-10-18
1063987816 Devannon Hubert Massage Therapist 4242 Government St Ste 122, Baton Rouge, LA 70806-5811 2018-10-08
1881189611 Breana R Carpenter Massage Therapist 12090 S Harrells Ferry Rd Ste P, Baton Rouge, LA 70816-2470 2018-06-25
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Competitor

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City BATON ROUGE
Zip Code 70806

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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