MEDICARE: JOHN E SINGLETARY JR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	00512	LA

General Provider Information

NPI Number	:	1285607432
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHN E SINGLETARY JR

Provider Business Mailing Address
First Line	:	PO BOX 958
Second Line	:
City	:	BUNKIE
State	:	LA
Zip	:	71322-0958
Country	:	US
Telephone Number	:	318-346-2682
Fax Number	:	318-346-7315

Provider Business Practice Location Address
First Line	:	510 S COTTONWOOD ST
Second Line	:
City	:	BUNKIE
State	:	LA
Zip	:	71322-1135
Country	:	US
Telephone Number	:	318-346-2682
Fax Number	:	318-346-2682

Authorized Official
Title or Position	:	PHYSICAL THERAPIST/OWNER
Name	:	MR. JOHN E SINGLETARY JR.
Credential	:	PT
Telephone Number	:	318-346-2682

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	02/18/2009

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Directions to “JOHN E SINGLETARY JR ” Practice Location

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