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NPI Code Detail

MEDICARE: PERFORMANCE PHYSICAL THERAPY OF MINDEN, L.L.C.

MEDICARE: PERFORMANCE PHYSICAL THERAPY OF MINDEN, L.L.C.
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
1174400000XSpecialistPT306RLA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649276197
Entity Type Code : Organization
Provider Name (Legal Business Name) : PERFORMANCE PHYSICAL THERAPY OF MINDEN, L.L.C.
Provider Business Mailing Address
First Line : 906 HOMER RD
Second Line :
City : MINDEN
State : LA
Zip : 71055-3024
Country : US
Telephone Number : 318-371-6666
Fax Number : 318-371-9966
Provider Business Practice Location Address
First Line : 906 HOMER RD
Second Line :
City : MINDEN
State : LA
Zip : 71055-3024
Country : US
Telephone Number : 318-371-6666
Fax Number : 318-371-9966
Authorized Official
Title or Position : OWNER/THERAPIST
Name : MR. RICKEY DON KILLIAN
Credential : P.T.
Telephone Number : 318-371-6666
Provider Enumeration Date : 06/21/2005
Last Update Date : 03/25/2009

Similar Medicare Providers

1447314034 — MRS. JANET H MCKNEELY P.T.
Practice Location Address:
906 HOMER RD
MINDEN, LA
71055-3024
Practice Phone: 318-377-4028
Practice Fax: 318-377-9895
1093879660 — PHYSICAL THERAPY ASSOCIATES, INC
Practice Location Address:
906 HOMER RD
MINDEN, LA
71055-3024
Practice Phone: 318-377-4028
Practice Fax: 318-377-9895
1760547939 — RICKEY DON KILLIAN P.T.
Practice Location Address:
906 HOMER RD
MINDEN, LA
71055-3024
Practice Phone: 318-371-6666
Practice Fax: 318-371-9966
1720409899 — MR. JOHN LUCAS GUIN DPT
Practice Location Address:
906 HOMER RD
MINDEN, LA
71055-3024
Practice Phone: 318-371-6666
Practice Fax: 318-371-9966
1659781235 — DAWN GUICE ED.D, CCC-SLP
Practice Location Address:
906 HOMER RD
MINDEN, LA
71055-3024
Practice Phone: 318-355-6983
Practice Fax:
1770933426 — MR. HODSON BROWN DPT
Practice Location Address:
906 HOMER RD
MINDEN, LA
71055-3024
Practice Phone: 318-371-6666
Practice Fax: 318-371-9966

Directions to “PERFORMANCE PHYSICAL THERAPY OF MINDEN, L.L.C. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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