| Eberhardt Physical Therapy & Wellness Clinic, Inc. | |
|
820 Jordan St Ste 150, Shreveport, LA 71101-4529 | |
| (318) 222-7442 | |
| (318) 424-4751 |
| Full Name | Eberhardt Physical Therapy & Wellness Clinic, Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 820 Jordan St Ste 150, 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 |
|---|---|---|---|
| 1023202694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 225700000X | Massage Therapist | (* (Not Available)) | Secondary |
| Provider Name | Gregory J Redmond |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407894355 PECOS PAC ID: 5294958047 Enrollment ID: I20140522002356 |
| Mailing Address | Practice Location Address |
|---|---|
| Eberhardt Physical Therapy & Wellness Clinic, Inc. 820 Jordan St Ste 150, Shreveport, LA 71101-4529 Ph: (318) 222-7442 | Eberhardt Physical Therapy & Wellness Clinic, Inc. 820 Jordan St Ste 150, Shreveport, LA 71101-4529 Ph: (318) 222-7442 |
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: Accepting Medicare Assignments Practice Location: 670 Albemarle Dr Ste 1100, Shreveport, LA 71106 Phone: 318-828-1450 Fax: 318-828-2697 | |
Jackson Christopher Lewis, Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 663 Jordan St, Shreveport, LA 71101 Phone: 318-918-8619 | |
Brandon Taylor Hale, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 650 Olive St, Shreveport, LA 71104 Phone: 318-302-6000 | |
Archna Shasta, Physical Therapist Medicare: Medicare Enrolled Practice Location: 7591 Fern Ave Ste 1203, Shreveport, LA 71105 Phone: 318-828-2972 |