Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael Broussard, PT

Individual provider Specialist · NPI 1063966026

Michael Broussard, PT is a Specialist in Zachary, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2016
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1326 Church St
Zachary, LA 70791-2743
Phone: (225) 654-8208
Fax: (225) 654-4642
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 09455 (LA)

Record details

NPI number1063966026
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedAugust 8, 2016
Last updated in NPPESAugust 8, 2016

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