NPI 1114462694 · live from the CMS NPI Registry
Anatomix Physical Therapy-Mandeville LLC
Physical Therapist in Mandeville, LA. National Provider Identifier 1114462694, active.
NPI record
| NPI | 1114462694 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 3916 Highway 22, Suite 3, Mandeville, LA 70471 |
| Practice phone | 985-542-6664 |
| Mailing address | 1100 C M Fagan Dr, Suite 103, Hammond, LA 70403 |
| Enumerated | December 20, 2016 |
| Last updated | June 18, 2020 |
| Authorized official | Michelle Conlin, Owner/ Office Manager |
| Other names | Anatomix Physical Therapy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.