Healthcare Provider Details

I. General information

NPI: 1003770181
Provider Name (Legal Business Name): QUAD C PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 E MAIN ST
VILLE PLATTE LA
70586-4608
US

IV. Provider business mailing address

PO BOX 127
MANY LA
71449-0127
US

V. Phone/Fax

Practice location:
  • Phone: 337-466-4255
  • Fax: 337-239-3462
Mailing address:
  • Phone: 337-239-3460
  • Fax: 337-239-3462

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: KEARSTIN COOLEY
Title or Position: OWNER
Credential:
Phone: 337-239-3460