| Brandon T Craig, DPT | |
|
2070 Highway 171 Ste C, Stonewall, LA 71078-9434 | |
| (318) 775-9870 | |
| (318) 775-9884 |
| Full Name | Brandon T Craig |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 2070 Highway 171 Ste C, Stonewall, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326778614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 11257 (Louisiana) | Primary |
| Provider Name | Desoto Physical Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1326419177 PECOS PAC ID: 6204139926 Enrollment ID: O20160129000477 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon T Craig, DPT 2070 Highway 171 Ste C, Stonewall, LA 71078-9434 Ph: (318) 775-9870 | Brandon T Craig, DPT 2070 Highway 171 Ste C, Stonewall, LA 71078-9434 Ph: (318) 775-9870 |
Mrs. Emily Carol Ryan Cristler, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2070 Highway 171 Ste C, Stonewall, LA 71078 Phone: 318-775-9870 | |
James Stalder, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 179 Wentz Dr, Stonewall, LA 71078 Phone: 318-286-2182 | |
Riley Lakin, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 318 Plantation Hills Blvd, Stonewall, LA 71078 Phone: 318-775-9870 Fax: 318-775-9884 | |
Nancy Lormand Summers, PHYSICAL THERAPIST Physical Therapist Medicare: Medicare Enrolled Practice Location: 318 Plantation Hills Blvd, Stonewall, LA 71078 Phone: 318-775-9870 Fax: 318-775-9884 |