NPI 1558082248 · live from the CMS NPI Registry
Jeana Anderson, PT
Physical Therapist in Covington, LA. National Provider Identifier 1558082248, active.
NPI record
| NPI | 1558082248 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 612 Holy Trinity Dr, Covington, LA 70433 |
| Practice phone | 985-643-5630 |
| Mailing address | 69317 Rowell St, Mandeville, LA 70471 |
| Enumerated | September 9, 2022 |
| Last updated | September 9, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 02712 (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.