Healthcare Provider Details

I. General information

NPI: 1831468024
Provider Name (Legal Business Name): WALKER PHYSICAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2011
Last Update Date: 11/12/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27999 OLD STH WALKER RD STE C
WALKER LA
70785-6048
US

IV. Provider business mailing address

27999 OLD STH WALKER RD STE C
WALKER LA
70785-6048
US

V. Phone/Fax

Practice location:
  • Phone: 225-271-4083
  • Fax: 225-271-4208
Mailing address:
  • Phone: 225-271-4083
  • Fax: 225-271-4208

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateLA

VIII. Authorized Official

Name: MARVIN J LOUVIERE
Title or Position: OWNER/MEMBER
Credential:
Phone: 985-397-3788