Provider Demographics
NPI:1386886471
Name:BENOIT, SONYA F (LMT, PERSONAL TRAINE)
Entity type:Individual
Prefix:MRS
First Name:SONYA
Middle Name:F
Last Name:BENOIT
Suffix:
Gender:F
Credentials:LMT, PERSONAL TRAINE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 JAMES COMEAUX RD STE B
Mailing Address - Street 2:#566
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-3376
Mailing Address - Country:US
Mailing Address - Phone:337-504-2351
Mailing Address - Fax:
Practice Address - Street 1:1800 NE EVANGELINE TRWY
Practice Address - Street 2:D5
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70501-2847
Practice Address - Country:US
Practice Address - Phone:337-504-2351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-03
Last Update Date:2009-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LALA2903225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist