| Geaux Fit Of La Llc | |
|
3630 Front St, Winnsboro, LA 71295-2224 | |
| (318) 367-0604 | |
| (318) 367-2678 |
| Full Name | Geaux Fit Of La Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 3630 Front St, Winnsboro, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326564311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 07456 (Louisiana) | Primary |
| Provider Name | Brian T Enlow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952349482 PECOS PAC ID: 7214096981 Enrollment ID: I20171215002479 |
| Provider Name | Alyssa Glover |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093202970 PECOS PAC ID: 7214283126 Enrollment ID: I20180912001878 |
| Mailing Address | Practice Location Address |
|---|---|
| Geaux Fit Of La Llc 3630 Front St, Winnsboro, LA 71295-2224 Ph: (318) 367-0604 | Geaux Fit Of La Llc 3630 Front St, Winnsboro, LA 71295-2224 Ph: (318) 367-0604 |
Grace Villanueva, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 804 Polk St, Winnsboro, LA 71295 Phone: 318-435-1550 | |
Alyssa G. Glover, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3630 Front St, Winnsboro, LA 71295 Phone: 318-367-0604 Fax: 318-367-2678 | |
Mr. Leslie Chad Asher, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1707 Warren St, Suite B, Winnsboro, LA 71295 Phone: 318-503-9789 | |
Jon L Richardson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 710 Prairie St, Winnsboro, LA 71295 Phone: 318-435-3882 Fax: 318-435-4306 | |
Nicholas Guilbeau I, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 710 Prairie St, Winnsboro, LA 71295 Phone: 318-435-3882 Fax: 318-435-4306 | |
Amy Glenn, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2106 Loop Rd, Winnsboro, LA 71295 Phone: 318-435-9400 |