DR. Glenn D. Manceaux, P.T., D.C., C.C.S.P.

NPI #1972552743 in Houma, Louisiana

Provider Information

NPI Number: 1972552743
Entity Type: Individual
Name: DR. Glenn D. Manceaux, P.T., D.C., C.C.S.P.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: P.T., D.C., C.C.S.P.
Enumeration Date: May 9, 2006
Last Updated: May 1, 2014

Practice Location

Address: 6902 W MAIN ST
City: Houma
State: Louisiana
ZIP Code: 70360-2455
Phone: (985) 868-3136

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary
Physical Therapist	225100000X

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