NPI Code Details Logo

NPI 1487823258

NPI 1487823258 : WR THERAPY, INC : WEST MONROE, LA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1487823258
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    WR THERAPY, INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/26/2008
-----------------------------------------------------
    Last Update Date     |    03/08/2022
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    210 CYPRESS ST STE A 
-----------------------------------------------------
    City                 |    WEST MONROE
-----------------------------------------------------
    State                |    LA
-----------------------------------------------------
    Zip                  |    71291-3120
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    318-381-5893
-----------------------------------------------------
    Fax                  |    318-513-3888
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    837 HARRELL RD 
-----------------------------------------------------
    City                 |    WEST MONROE
-----------------------------------------------------
    State                |    LA
-----------------------------------------------------
    Zip                  |    71291-9821
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    318-381-5893
-----------------------------------------------------
    Fax                  |    318-513-3888
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    SPEECH-LANGUAGE PATHOLOGIST
-----------------------------------------------------
    Name                 |     WENDI  RICHARDSON 
-----------------------------------------------------
    Credential           |    M.A., CCC-SLP
-----------------------------------------------------
    Telephone            |    318-381-5893
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    225X00000X
-----------------------------------------------------
    Taxonomy Name        |    Occupational Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    235Z00000X
-----------------------------------------------------
    Taxonomy Name        |    Speech-Language Pathologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.