Provider Demographics
NPI:1982573903
Name:CULPEPPER, JASMINE (LMT)
Entity type:Individual
Prefix:MS
First Name:JASMINE
Middle Name:
Last Name:CULPEPPER
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 1:318 BERTRAND DR # 101
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-5636
Mailing Address - Country:US
Mailing Address - Phone:337-889-5820
Mailing Address - Fax:337-889-5821
Practice Address - Street 1:318 BERTRAND DR # 101
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-5636
Practice Address - Country:US
Practice Address - Phone:337-889-5820
Practice Address - Fax:337-889-5821
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-30
Last Update Date:2025-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LALA9576225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty