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NPI Code Detail

MEDICARE: MCLEOD-TRAHAN-SHEFFIELD PHYSICAL THERAPY SERVICES, INC.

MEDICARE: MCLEOD-TRAHAN-SHEFFIELD PHYSICAL THERAPY SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1B4436OTHERLABLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number : 1245209436
Entity Type Code : Organization
Provider Name (Legal Business Name) : MCLEOD-TRAHAN-SHEFFIELD PHYSICAL THERAPY SERVICES, INC.
Provider Business Mailing Address
First Line : 2115 DULLES DR
Second Line :
City : LAFAYETTE
State : LA
Zip : 70506-2652
Country : US
Telephone Number : 337-981-9182
Fax Number : 337-988-3441
Provider Business Practice Location Address
First Line : 2115 DULLES DR
Second Line :
City : LAFAYETTE
State : LA
Zip : 70506-2652
Country : US
Telephone Number : 337-981-9182
Fax Number : 337-988-3441
Authorized Official
Title or Position : OWNER
Name : MIKE SHEFFIELD
Credential : PT
Telephone Number : 337-981-9182
Provider Enumeration Date : 03/17/2006
Last Update Date : 06/15/2010

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Practice Location Address:
2115 DULLES DR
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70506-2652
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1790754984 — ELLEN DEVALCOURT PT
Practice Location Address:
2115 DULLES DR
LAFAYETTE, LA
70506-2652
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Practice Fax: 337-988-3441
1578532743 — ROXANNE TOUCHET PT
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LAFAYETTE, LA
70506-2652
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1528027596 — MIKE SHEFFIELD PT
Practice Location Address:
2115 DULLES DR
LAFAYETTE, LA
70506-2652
Practice Phone: 337-981-9182
Practice Fax: 337-988-3441

Directions to “MCLEOD-TRAHAN-SHEFFIELD PHYSICAL THERAPY SERVICES, INC. ” Practice Location

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