Caleb T Mcentire, PT | |
5795 N Market St Ste 8, Shreveport, LA 71107-2527 | |
(318) 489-4298 | |
(318) 489-4299 |
Full Name | Caleb T Mcentire |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 7 Years |
Location | 5795 N Market St Ste 8, Shreveport, Louisiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457996316 | NPI | - | NPPES |
09908 | Other | LA | LA BOARD OF PHYSICAL THERAPY EXAMINERS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 09908 (Louisiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fultz Physical Therapy And Joint Rehab Llc | 3072850486 | 7 |
Provider Name | Fultz Physical Therapy And Joint Rehab Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1912473034 PECOS PAC ID: 3072850486 Enrollment ID: O20190123002610 |
Mailing Address | Practice Location Address |
---|---|
Caleb T Mcentire, PT 5795 N Market St Ste 8, Shreveport, LA 71107-2527 Ph: (318) 489-4298 | Caleb T Mcentire, PT 5795 N Market St Ste 8, Shreveport, LA 71107-2527 Ph: (318) 489-4298 |
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