| Physical Therapy Clinic Of Rayne, Inc. | |
|
500 W Branche St, Rayne, LA 70578-5026 | |
| (337) 334-9207 | |
| (337) 334-9208 |
| Full Name | Physical Therapy Clinic Of Rayne, Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 500 W Branche St, Rayne, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790859809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT0163 (Louisiana) | Primary |
| Provider Name | Judd A Gautreaux |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538227673 PECOS PAC ID: 6002179637 Enrollment ID: I20180413000572 |
| Mailing Address | Practice Location Address |
|---|---|
| Physical Therapy Clinic Of Rayne, Inc. 500 W Branche St, Rayne, LA 70578-5026 Ph: (337) 334-9207 | Physical Therapy Clinic Of Rayne, Inc. 500 W Branche St, Rayne, LA 70578-5026 Ph: (337) 334-9207 |
Dr. Cassidy Dailey, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4290 Grand Prairie Hwy, Rayne, LA 70578 Phone: 337-466-2947 | |
Mr. Judd A Gautreaux, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 500 W Branche St, Rayne, LA 70578 Phone: 337-334-9207 Fax: 337-334-9207 | |
Chasity Danyelle Popillion, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 308 Amelia St, Rayne, LA 70578 Phone: 337-334-5111 | |
Lendell J Babineaux, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 W Branche St, Rayne, LA 70578 Phone: 337-334-9207 Fax: 337-334-9207 |