| Prep Physical Therapy, Llc | |
| 
					5000 Benton Rd Ste 1, Bossier City, LA 71111  | |
| (318) 218-6652 | |
| Not Available | 
| Full Name | Prep Physical Therapy, Llc | 
|---|---|
| Type | Facility | 
| Speciality | Physical Therapist | 
| Location | 5000 Benton Rd Ste 1, Bossier City, Louisiana | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1063910958 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary | 
| Provider Name | Patrick Vance | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1336647304 PECOS PAC ID: 1557617388 Enrollment ID: I20180709001813  | 
| Provider Name | Doran Arthur Mcqueary | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1831697804 PECOS PAC ID: 0446506281 Enrollment ID: I20180709001946  | 
| Provider Name | Jenny Lewis | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1255832747 PECOS PAC ID: 5991049991 Enrollment ID: I20181203000809  | 
| Provider Name | Morgan E Goodwin | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1679197784 PECOS PAC ID: 0941622344 Enrollment ID: I20200611002307  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Prep Physical Therapy, Llc 5000 Benton Rd Ste 1, Bossier City, LA 71111-6234 Ph: () -  | Prep Physical Therapy, Llc 5000 Benton Rd Ste 1, Bossier City, LA 71111 Ph: (318) 218-6652  | 
Mrs. Rachel Sibley,  Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 668 Dumaine Dr, Bossier City, LA 71111 Phone: 318-470-5049  | |
Wendy L Stephenson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2906 Plantation Dr, Bossier City, LA 71111 Phone: 318-746-5295 Fax: 318-746-5297  | |
Dr. Chelsey Cotten, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4970 Barksdale Blvd Ste 900, Bossier City, LA 71112 Phone: 318-747-8892 Fax: 318-222-8893  | |
Kate Doherty, P.T., D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2113 Airline Dr, #100, Bossier City, LA 71111 Phone: 318-519-3088  | |
Jeffrey M Phillips, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2906 Plantation Dr, Bossier City, LA 71111 Phone: 318-746-5295 Fax: 318-746-5297  | |
Thomas Joseph Clawson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1524 Doctors Dr, Bossier City, LA 71111 Phone: 318-742-1623  |