The Fascia Institute And Treatment Center, LLC
Clinic/Center, Medical Specialty in Metairie, LA. Organization (NPI-2).
NPI number1013762335
StatusActive
Last updated in NPPESApr 6, 2026
Details
- NPI
- 1013762335
- Entity type
- Organization (NPI-2)
- Legal business name
- The Fascia Institute And Treatment Center, LLC
- Organization subpart
- No
- Enumeration date
- Apr 19, 2024
- Certification date
- Apr 6, 2026
- Last updated
- Apr 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2500X | Clinic/Center, Medical Specialty | – | – | Yes |
Practice location
2520 Harvard Ave # 2bMetairie, LA 70001-1172
Phone 504-704-1254 · Fax 866-572-0930
Mailing address
2520 Harvard Ave # 2bMetairie, LA 70001-1172
Phone 504-704-1254 · Fax 866-572-0930
Authorized official
Jacques Courseault
Physician
5047041254
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