Provider Demographics
NPI:1740664200
Name:SAUNIER, BEAU (PT DPT)
Entity type:Individual
Prefix:
First Name:BEAU
Middle Name:
Last Name:SAUNIER
Suffix:
Gender:M
Credentials:PT DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2727 KALISTE SALOOM RD
Mailing Address - Street 2:STE. 101
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-7151
Mailing Address - Country:US
Mailing Address - Phone:337-981-4053
Mailing Address - Fax:337-981-2448
Practice Address - Street 1:2727 KALISTE SALOOM RD
Practice Address - Street 2:STE. 101
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-7151
Practice Address - Country:US
Practice Address - Phone:337-981-4053
Practice Address - Fax:337-981-2448
Is Sole Proprietor?:No
Enumeration Date:2015-07-15
Last Update Date:2015-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA09080390200000X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program