# OSTEOPRACTIC PHYSICAL THERAPY OF SOUTHWEST LOUISIANA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003551565
- **Authorized official:** RUSSELL WARREN HEARNE PT, DPT (CO-OWNER/PHYSICAL THERAPIST)
- **Authorized official phone:** (337) 735-3930

## Contact information

- **Practice address:** 1329 HORRIDGE ST, VINTON, LA 70668-4531
- **Practice address phone:** (337) 735-3930
- **Practice address fax:** (337) 391-2839
- **Mailing address:** 1329 HORRIDGE ST, VINTON, LA 70668-4531
- **Mailing address phone:** (337) 735-3930
- **Mailing address fax:** (337) 391-2839

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 04/29/2022
- **Last updated:** 09/01/2026