Basic Information
| Provider Information | |||||||||
| NPI: | 1215253562 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HUVAL | ||||||||
| FirstName: | ANNE | ||||||||
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| Credential: | A.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 217 E KALISTE SALOOM RD | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | LAFAYETTE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 705088513 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3377696325 | ||||||||
| FaxNumber: | 3377696423 | ||||||||
| Practice Location | |||||||||
| Address1: | 110 RUE PROMENADE | ||||||||
| Address2: | |||||||||
| City: | LAFAYETTE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 705087086 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3375042827 | ||||||||
| FaxNumber: | 3375043032 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/12/2010 | ||||||||
| LastUpdateDate: | 04/12/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 171100000X | 200019 | LA | Y | Other Service Providers | Acupuncturist | 225700000X | 127401 | LA | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Massage Therapist |
No ID Information.