| Rolling Rehab Llc | |
|
115 Hunt Rd, Benton, LA 71006-3469 | |
| (318) 230-2537 | |
| Not Available |
| Full Name | Rolling Rehab Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 115 Hunt Rd, Benton, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861404683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 01146 (Louisiana) | Primary |
| Provider Name | Shanna D. Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932327608 PECOS PAC ID: 1355346909 Enrollment ID: I20070510000204 |
| Mailing Address | Practice Location Address |
|---|---|
| Rolling Rehab Llc 115 Hunt Rd, Benton, LA 71006-3469 Ph: (318) 965-3990 | Rolling Rehab Llc 115 Hunt Rd, Benton, LA 71006-3469 Ph: (318) 230-2537 |
Richard Dale Mcphearson, DPT,MTC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 235 Fairburn Ave, Benton, LA 71006 Phone: 318-935-9075 Fax: 318-935-9076 | |
Taylor Mccarty, Physical Therapist Medicare: Medicare Enrolled Practice Location: 185 Burt Blvd Ste B, Benton, LA 71006 Phone: 318-935-9075 | |
Mrs. Shanna D. Johnson, MS,PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 115 Hunt Rd, Benton, LA 71006 Phone: 318-230-2537 Fax: 318-965-4466 | |
Noah Hartline, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 235 Fairburn Ave, Benton, LA 71006 Phone: 318-935-9075 Fax: 318-935-9076 |