| The Edge Physical Therapy And Sports Science Center | |
|
2950 Fairfield Ave, Shreveport, LA 71104-1906 | |
| (318) 841-0696 | |
| (318) 841-0776 |
| Full Name | The Edge Physical Therapy And Sports Science Center |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Orthopedic |
| Location | 2950 Fairfield Ave, Shreveport, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114154184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | 07110R (Louisiana) | Primary |
| Provider Name | Anna M Moore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003974874 PECOS PAC ID: 0648290957 Enrollment ID: I20090918000134 |
| Provider Name | Trent W Wierick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932122330 PECOS PAC ID: 6800027434 Enrollment ID: I20140325001653 |
| Provider Name | Justin Michael Boyd |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174012330 PECOS PAC ID: 0941559694 Enrollment ID: I20180814002264 |
| Provider Name | Kelli S Snyder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083179170 PECOS PAC ID: 5193067528 Enrollment ID: I20190503001293 |
| Mailing Address | Practice Location Address |
|---|---|
| The Edge Physical Therapy And Sports Science Center 2950 Fairfield Ave, Shreveport, LA 71104-1906 Ph: (318) 841-0696 | The Edge Physical Therapy And Sports Science Center 2950 Fairfield Ave, Shreveport, LA 71104-1906 Ph: (318) 841-0696 |
Suzannah Kathryn York - Crump, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 266 Ockley Dr, Shreveport, LA 71105 Phone: 337-580-0083 Fax: 337-580-0083 | |
Anna Means Moore, PT, DPT, OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2950 Fairfield Ave, Shreveport, LA 71104 Phone: 318-841-0696 Fax: 318-841-0776 | |
Sydney Williams, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 670 Albemarle Dr Ste 1100, Shreveport, LA 71106 Phone: 318-828-1450 Fax: 318-828-2697 | |
Archna Shasta, Physical Therapist Medicare: Medicare Enrolled Practice Location: 7591 Fern Ave Ste 1203, Shreveport, LA 71105 Phone: 318-828-2972 | |
Eberhardt Physical Therapy & Wellness Clinic, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 820 Jordan St Ste 150, Shreveport, LA 71101 Phone: 318-222-7442 Fax: 318-424-4751 | |
Claire Marie Melebeck, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1450 Claiborne Ave, School Of Allied Health, Shreveport, LA 71103 Phone: 318-813-2961 Fax: 318-813-2989 | |
Michael Wayne Wiltcher, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10178 Berrywood Cir, Shreveport, LA 71106 Phone: 318-469-4349 |