# RIVERSIDE WELLNESS WORKS

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

## Provider details

- **NPI number:** 1093649170
- **Authorized official:** DR. TYRA MITCHELL-WILLIAMS DPT (OWNER)
- **Authorized official phone:** (504) 603-0068

## Contact information

- **Practice address:** 4023 TCHOUPITOULAS ST, NEW ORLEANS, LA 70115-1432
- **Practice address phone:** (504) 603-0068
- **Mailing address:** 4023 TCHOUPITOULAS ST, NEW ORLEANS, LA 70115-1432
- **Mailing address phone:** (504) 603-0068

## Taxonomy

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

## Other

- **Enumeration date:** 06/11/2026
- **Last updated:** 06/27/2026
