NPI 1285013573 · live from the CMS NPI Registry
Back In Motion Louisiana LLC
Physical Therapist in Mandeville, LA. National Provider Identifier 1285013573, active.
NPI record
| NPI | 1285013573 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 1414 N Causeway Blvd, Mandeville, LA 70471 |
| Practice phone | 941-685-3665 |
| Mailing address | Po Box 894, Madisonville, LA 70447 |
| Enumerated | May 20, 2015 |
| Last updated | August 26, 2015 |
| Authorized official | Timothy Burnell, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | PT04010 (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.