NPI Code Details Logo

NPI 1841118270

NPI 1841118270 : MADELINE RICE PT,DPT : DERIDDER, LA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1841118270
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    MADELINE RICE PT,DPT
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/06/2026
-----------------------------------------------------
    Last Update Date     |    07/06/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    604 N PINE ST 
-----------------------------------------------------
    City                 |    DERIDDER
-----------------------------------------------------
    State                |    LA
-----------------------------------------------------
    Zip                  |    70634
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    337-202-0568
-----------------------------------------------------
    Fax                  |    337-485-5907
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    6326 NOLDAN PL APT C 
-----------------------------------------------------
    City                 |    FORT POLK
-----------------------------------------------------
    State                |    LA
-----------------------------------------------------
    Zip                  |    71459-3362
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    337-202-0568
-----------------------------------------------------
    Fax                  |    337-485-5907
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    11970R
-----------------------------------------------------
    License Number State |    LA
-----------------------------------------------------



                        

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