| Move Sport Spine | |
|
4133 University Pkwy, Natchitoches, LA 71457-6409 | |
| (318) 238-6683 | |
| (833) 733-6683 |
| Full Name | Move Sport Spine |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 4133 University Pkwy, Natchitoches, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184394371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | David W Mooney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447379664 PECOS PAC ID: 1658352471 Enrollment ID: I20040527000625 |
| Mailing Address | Practice Location Address |
|---|---|
| Move Sport Spine 4133 University Pkwy, Natchitoches, LA 71457-6409 Ph: (318) 238-6683 | Move Sport Spine 4133 University Pkwy, Natchitoches, LA 71457-6409 Ph: (318) 238-6683 |
Lauren Peters Mitchell, PHYSICAL THERAPY Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 733 Keyser Ave Ste 100, Natchitoches, LA 71457 Phone: 318-238-4480 | |
Mr. Luke Andrew Storrs, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 740 Keyser Ave, Suite E, Natchitoches, LA 71457 Phone: 318-214-0088 Fax: 318-214-9009 | |
Karen Vandersypen, Physical Therapist Medicare: Medicare Enrolled Practice Location: 733 Keyser Ave Ste 100, Natchitoches, LA 71457 Phone: 318-214-4296 | |
Cardarrius Murphy, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 233 Sewanne St, Natchitoches, LA 71457 Phone: 318-228-7803 | |
Alyssa Dyer, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 310 Royal St, Natchitoches, LA 71457 Phone: 318-352-2358 | |
Mr. Richard L Guidroz, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 132 East Fifth St, Natchitoches, LA 71457 Phone: 318-352-9643 Fax: 318-352-9660 |