Physiofit - Destrehan, La | |
12627 Airline Hwy Ste A, Destrehan, LA 70047-2550 | |
(985) 603-4157 | |
(985) 603-4242 |
Full Name | Physiofit - Destrehan, La |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 12627 Airline Hwy Ste A, Destrehan, Louisiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760014104 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Physiofit - Destrehan, La 6397 Lee Hwy Ste 300, Chattanooga, TN 37421-4915 Ph: (423) 238-7217 | Physiofit - Destrehan, La 12627 Airline Hwy Ste A, Destrehan, LA 70047-2550 Ph: (985) 603-4157 |
Wesley Malcolm Juneau, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12627 Airline Hwy Ste A, Destrehan, LA 70047 Phone: 985-603-4157 Fax: 985-603-4242 | |
Cody Migliore, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1972 Ormond Blvd, Destrehan, LA 70047 Phone: 985-307-0925 | |
Jacob Lance Marino, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 12627 Airline Hwy, Destrehan, LA 70047 Phone: 985-603-4157 Fax: 985-603-4242 | |
Patrick Lawrence Childress, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1972 Ormond Blvd, Destrehan, LA 70047 Phone: 985-307-0925 | |
William James Smith, PT, DPT, OCS, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1972 Ormond Blvd, Destrehan, LA 70047 Phone: 985-307-0925 | |
Brandon Kyle Robichaux, Physical Therapist Medicare: Medicare Enrolled Practice Location: 4 Edgewood Dr, Destrehan, LA 70047 Phone: 504-559-7054 |