NPI 1891674628 · live from the CMS NPI Registry
Cullen Ballard
Physical Therapist in Lake Charles, LA. National Provider Identifier 1891674628, active.
NPI record
| NPI | 1891674628 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 4150 Nelson Rd Ste 1, Lake Charles, LA 70605 |
| Practice phone | 337-660-2996 |
| Mailing address | 1322 Elton Rd Ste I, Jennings, LA 70546 |
| Enumerated | August 27, 2025 |
| Last updated | September 3, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 12200 (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.