NPI 1003029521 · live from the CMS NPI Registry
Manuel N Aquino
Physical Therapist in Denham Springs, LA. National Provider Identifier 1003029521, active.
NPI record
| NPI | 1003029521 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 8128 Florida Boulevard, Denham Springs, LA 70726 |
| Practice phone | 225-791-8666 |
| Mailing address | 2030 White Myrtle Drive, Madisonvillle, LA 70447 |
| Enumerated | May 8, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 01171F (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.