Provider Demographics
NPI:1043406390
Name:DEHOYOS, EVELYN MARY (LMT)
Entity Type:Individual
Prefix:MRS
First Name:EVELYN
Middle Name:MARY
Last Name:DEHOYOS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2228 ETHEL ST
Mailing Address - Street 2:
Mailing Address - City:SULPHUR
Mailing Address - State:LA
Mailing Address - Zip Code:70665-7815
Mailing Address - Country:US
Mailing Address - Phone:337-515-0708
Mailing Address - Fax:
Practice Address - Street 1:2228 ETHEL ST
Practice Address - Street 2:
Practice Address - City:SULPHUR
Practice Address - State:LA
Practice Address - Zip Code:70665-7815
Practice Address - Country:US
Practice Address - Phone:337-515-0708
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-20
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3838225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist