# ANATOMIX PHYSICAL THERAPY-MANDEVILLE LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ANATOMIX PHYSICAL THERAPY, INC.
- **Other names:** Anatomix Physical Therapy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1114462694
- **Legal business name:** ANATOMIX PHYSICAL THERAPY, INC.
- **Authorized official:** MRS. MICHELLE G CONLIN (OWNER/ OFFICE MANAGER)
- **Authorized official phone:** (985) 542-6664

## Contact information

- **Practice address:** 3916 HIGHWAY 22, SUITE 3, MANDEVILLE, LA 70471-7306
- **Practice address phone:** (985) 542-6664
- **Practice address fax:** (985) 542-6428
- **Mailing address:** 1100 C M FAGAN DR, SUITE 103, HAMMOND, LA 70403-5963
- **Mailing address phone:** (985) 542-6664
- **Mailing address fax:** (985) 542-6428

## Taxonomy

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

## Other

- **Enumeration date:** 12/20/2016
- **Last updated:** 06/18/2020