MEDICARE: XCEL THERAPY SOLUTIONS, 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
1	261QR0401X	Comprehensive Outpatient Rehabilitation Facility (CORF)		LA

General Provider Information

NPI Number	:	1497900476
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	XCEL THERAPY SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	1707 WARREN ST
Second Line	:	SUITE B
City	:	WINNSBORO
State	:	LA
Zip	:	71295-2939
Country	:	US
Telephone Number	:	318-503-9789
Fax Number	:

Provider Business Practice Location Address
First Line	:	1707 WARREN ST
Second Line	:	SUITE B
City	:	WINNSBORO
State	:	LA
Zip	:	71295-2939
Country	:	US
Telephone Number	:	318-503-9789
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	MR. LESLIE CHAD ASHER
Credential	:	PT
Telephone Number	:	318-503-9789

Provider Enumeration Date	:	11/18/2008
Last Update Date	:	11/18/2008

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