MEDICARE: MINDEN PHYSICAL THERAPY 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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1982466157
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MINDEN PHYSICAL THERAPY LLC

Provider Business Mailing Address
First Line	:	PO BOX 332
Second Line	:
City	:	STONEWALL
State	:	LA
Zip	:	71078-0332
Country	:	US
Telephone Number	:	318-636-8046
Fax Number	:	318-636-8036

Provider Business Practice Location Address
First Line	:	111 RYANS WAY
Second Line	:
City	:	MINDEN
State	:	LA
Zip	:	71055-4231
Country	:	US
Telephone Number	:	318-636-8046
Fax Number	:	318-636-8036

Authorized Official
Title or Position	:	OWNER
Name	:	MR. WILLIAM D. JAMES
Credential	:	DPT
Telephone Number	:	318-470-3111

Provider Enumeration Date	:	01/24/2024
Last Update Date	:	01/24/2024

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Directions to “MINDEN PHYSICAL THERAPY LLC ” Practice Location

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