NPI 1417486986 · live from the CMS NPI Registry
Emmanuel B Adeyanju, RPT
Physical Therapist in Carencro, LA. National Provider Identifier 1417486986, active.
NPI record
| NPI | 1417486986 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 204 E Saint Peter St, Carencro, LA 70520 |
| Practice phone | 337-896-6686 |
| Mailing address | 2002 Johnson St Ste 100, Jennings, LA 70546 |
| Enumerated | June 8, 2017 |
| Last updated | June 8, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 03062F (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.