Provider Demographics
NPI:1417199944
Name:NEURAL PROTECTION SERVICES
Entity Type:Organization
Organization Name:NEURAL PROTECTION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KOURTNEY
Authorized Official - Middle Name:CAMINITA
Authorized Official - Last Name:LETO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-792-5226
Mailing Address - Street 1:556 PELICAN RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70447-9248
Mailing Address - Country:US
Mailing Address - Phone:985-792-5226
Mailing Address - Fax:
Practice Address - Street 1:556 PELICAN RIDGE DR
Practice Address - Street 2:
Practice Address - City:MADISONVILLE
Practice Address - State:LA
Practice Address - Zip Code:70447-9248
Practice Address - Country:US
Practice Address - Phone:985-792-5226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-30
Last Update Date:2009-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Single Specialty