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MICHAEL BROUSSARD PT
NPI 1063966026
Specialist in Zachary, LA

Active since August 08, 2016
1326 CHURCH ST, ZACHARY, LA 70791(225) 654-8208(225) 654-4642 Get Directions Write a Review

NPPES record last updated: August 8, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael Broussard Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL BROUSSARD PT (NPI 1063966026) is an individual specialist in Zachary, Louisiana, licensed in Louisiana (09455) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1063966026
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMICHAEL BROUSSARDCredential: PT
Location Address1326 CHURCH STZachary, LA 70791-2743
Mailing Address1326 Church StZachary, LA 70791-2743 · (225) 654-8208 · Fax (225) 654-4642
Phone(225) 654-8208
Fax(225) 654-4642
Sole ProprietorYes
Enumeration DateAugust 8, 2016
✔ NPI 1063966026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in LA · 09455
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1326 CHURCH ST, Zachary, LA 70791
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JILLIANNE HART PT
Physical Therapist
1326 CHURCH ST
ZACHARY, LA 70791
East Baton Rouge Parish (225) 654-8208
GLINNIS BAINES
Speech-Language Pathologist
1326 CHURCH ST
ZACHARY, LA 70791
East Baton Rouge Parish (225) 654-8208
MRS. KIMBERLY SUE DENHAM MPT
Physical Therapist
1326 CHURCH ST
ZACHARY, LA 70791
East Baton Rouge Parish (225) 654-8208
COLLEEN WILBERT
Physical Therapist
1326 CHURCH ST
ZACHARY, LA 70791
East Baton Rouge Parish (225) 654-8208
AMY SULLIVAN M.S.-SLP
Speech-Language Pathologist
1326 CHURCH ST
ZACHARY, LA 70791
East Baton Rouge Parish (224) 654-8208
MEGAN TRAHANT MS, CCC-SLP
Speech-Language Pathologist
1326 CHURCH ST
ZACHARY, LA 70791
East Baton Rouge Parish (225) 654-8208
MRS. MARGARET M. GUCCIONE PT
Physical Therapist
1326 CHURCH ST
ZACHARY, LA 70791
East Baton Rouge Parish (224) 751-8512
CONSTANCE HALL-CARTER
Specialist
1326 CHURCH ST
ZACHARY, LA 70791
East Baton Rouge Parish (225) 654-8208

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Broussard's NPI number?

The NPI number for Michael Broussard is 1063966026. It was assigned to this individual provider in the NPPES registry on August 8, 2016.

Where is Michael Broussard located?

Michael Broussard practices at 1326 Church St, Zachary, LA 70791. The listed phone number is (225) 654-8208.

What is Michael Broussard's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Michael Broussard was last updated on August 8, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.