Healthcare Provider Details

I. General information

NPI: 1346964764
Provider Name (Legal Business Name): WINNFIELD PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2022
Last Update Date: 09/29/2022
Certification Date: 09/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6252 HIGHWAY 167 N STE D
WINNFIELD LA
71483-6072
US

IV. Provider business mailing address

PO BOX 255
STONEWALL LA
71078-0255
US

V. Phone/Fax

Practice location:
  • Phone: 318-648-7482
  • Fax: 318-582-3396
Mailing address:
  • Phone: 318-648-7482
  • Fax: 318-582-3396

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. WILLIAM D JAMES
Title or Position: DPT/PART OWNER
Credential: DPT
Phone: 318-470-3111