Healthcare Provider Details

I. General information

NPI: 1447379664
Provider Name (Legal Business Name): DAVID W MOONEY DPT, OCS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4133 UNIVERSITY PKWY
NATCHITOCHES LA
71457-6409
US

IV. Provider business mailing address

4133 UNIVERSITY PKWY
NATCHITOCHES LA
71457-6409
US

V. Phone/Fax

Practice location:
  • Phone: 318-238-6683
  • Fax: 833-733-6683
Mailing address:
  • Phone: 318-238-6683
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number04985
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number04985
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: