Healthcare Provider Details

I. General information

NPI: 1972024081
Provider Name (Legal Business Name): MTS-LGH THERAPY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2017
Last Update Date: 04/06/2023
Certification Date: 04/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2115 DULLES DR
LAFAYETTE LA
70506-2652
US

IV. Provider business mailing address

2115 DULLES DR
LAFAYETTE LA
70506-2652
US

V. Phone/Fax

Practice location:
  • Phone: 337-981-9182
  • Fax: 337-988-3441
Mailing address:
  • Phone: 337-981-9182
  • Fax: 337-988-4551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MR. BRIAN SOIGNIER
Title or Position: CO-OWNER
Credential: P.T.
Phone: 337-981-9182