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NPI Code Detail

MEDICARE: LJR THERAPY SERVICES, LLC

MEDICARE: LJR THERAPY SERVICES, LLC
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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1487545083
Entity Type Code : Organization
Provider Name (Legal Business Name) : LJR THERAPY SERVICES, LLC
Provider Business Mailing Address
First Line : 146 LUCIEN JONES RD
Second Line :
City : LONGVILLE
State : LA
Zip : 70652-4516
Country : US
Telephone Number : 337-396-4071
Fax Number :
Provider Business Practice Location Address
First Line : 614 N PINE ST
Second Line :
City : DERIDDER
State : LA
Zip : 70634-3546
Country : US
Telephone Number : 337-396-4071
Fax Number :
Authorized Official
Title or Position : OWNER/PHYSICAL THERAPIST
Name : LAKYN JEANE REEVES
Credential : PT, DPT
Telephone Number : 337-396-4071
Provider Enumeration Date : 07/11/2025
Last Update Date : 11/06/2025

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Directions to “LJR THERAPY SERVICES, LLC ” Practice Location

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