| Sow & Reap Physical Therapy, Llc | |
|
1743 Swan Lake Rd Ste E Bossier City LA 71111-5366 | |
| (318) 553-5022 | |
| (318) 594-3088 |
| Full Name | Sow & Reap Physical Therapy, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1743 Swan Lake Rd Ste E, Bossier City, Louisiana |
| Authorized Official Name and Position | Latonya P Mister (OWNER) |
| Authorized Official Contact | 3185535022 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sow & Reap Physical Therapy, Llc 2008 Airline Dr Ste 300-288 Bossier City LA 71111-2946 Ph: (318) 553-5022 | Sow & Reap Physical Therapy, Llc 1743 Swan Lake Rd Ste E Bossier City LA 71111-5366 Ph: (318) 553-5022 |
| NPI Number | 1346858941 |
|---|---|
| Provider Enumeration Date | 07/20/2020 |
| Last Update Date | 01/07/2024 |
| Medicare PECOS PAC ID | 9032537311 |
|---|---|
| Medicare Enrollment ID | O20200918000451 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346858941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Latonya Mister |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639317704 PECOS PAC ID: 1759420987 Enrollment ID: I20200918000529 |
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