| Ponchatoula Therapy | |
|
132 S 6th St, Ponchatoula, LA 70454-3317 | |
| (985) 969-0517 | |
| Not Available |
| Full Name | Ponchatoula Therapy |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 132 S 6th St, Ponchatoula, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922398544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
| Provider Name | Austin Henderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366907388 PECOS PAC ID: 0648658476 Enrollment ID: I20220607000217 |
| Provider Name | Rachel Lynn Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093453219 PECOS PAC ID: 6800277146 Enrollment ID: I20220719001063 |
| Mailing Address | Practice Location Address |
|---|---|
| Ponchatoula Therapy 132 S 6th St, Ponchatoula, LA 70454-3317 Ph: (985) 969-0517 | Ponchatoula Therapy 132 S 6th St, Ponchatoula, LA 70454-3317 Ph: (985) 969-0517 |
Rachel Williams, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 132 S 6th St, Ponchatoula, LA 70454 Phone: 985-386-6884 | |
Mrs. Lisa Ann Howes, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 280 N 8th St, Ponchatoula, LA 70454 Phone: 985-386-4688 | |
Dr. Dustin Drewes, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 Beauregard St, Ponchatoula, LA 70454 Phone: 504-613-7662 | |
Lucas Quebedeaux, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 132 S 6th St, Ponchatoula, LA 70454 Phone: 985-386-6884 | |
Angelica Lirette, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 132 S 6th St, Ponchatoula, LA 70454 Phone: 985-386-6884 Fax: 985-386-6854 | |
Mallory Kraft, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 132 S 6th St, Ponchatoula, LA 70454 Phone: 985-386-6884 | |
Mr. John David Wild Jr., DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 510 W Pine St, Ponchatoula, LA 70454 Phone: 985-634-1966 |