| Physiofit Physical Therapy, LLC | |
|
120 White Rose Dr Raceland LA 70394-2644 | |
| (985) 532-9662 | |
| (985) 532-3942 |
| Full Name | Physiofit Physical Therapy, LLC |
|---|---|
| Speciality | Clinic/center - Physical Therapy |
| Location | 120 White Rose Dr, Raceland, Louisiana |
| Authorized Official Name and Position | Kiley Russell (MANAGER) |
| Authorized Official Contact | 4232388923 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physiofit Physical Therapy, LLC 8823 Production Ln Ooltewah TN 37363-6511 Ph: (423) 238-7217 | Physiofit Physical Therapy, LLC 120 White Rose Dr Raceland LA 70394-2644 Ph: (985) 532-9662 |
| NPI Number | 1386080323 |
|---|---|
| Provider Enumeration Date | 05/17/2013 |
| Last Update Date | 05/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386080323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (NU) | Primary |
| 261QR0400X | Clinic/center - Rehabilitation | (NU) | Secondary |
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Thibodaux Regional Multi-specialty Clinic-raceland Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4560 Highway 1 Ste 3, Raceland, LA 70394 Phone: 985-435-4831 Fax: 985-449-2513 |
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