| Osteopractic Physical Therapy Of Southwest Louisiana Llc | |
|
417 N Eighth St, Kinder, LA 70648 | |
| (936) 465-6282 | |
| Not Available |
| Full Name | Osteopractic Physical Therapy Of Southwest Louisiana Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 417 N Eighth St, Kinder, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003551565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Russell Warren Hearne |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508369737 PECOS PAC ID: 7113250424 Enrollment ID: I20190531000258 |
| Mailing Address | Practice Location Address |
|---|---|
| Osteopractic Physical Therapy Of Southwest Louisiana Llc 417 N Eighth St, Kinder, LA 70648 Ph: (936) 465-6282 | Osteopractic Physical Therapy Of Southwest Louisiana Llc 417 N Eighth St, Kinder, LA 70648 Ph: (936) 465-6282 |
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Mr. Carson Schniers, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 108 N 6th St, Kinder, LA 70648 Phone: 337-738-9406 | |
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