# ROY HUMPHREY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1326445669
- **Gender:** Man
- **Credential:** PT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 04126 | LA | Yes |
| 314000000X | Skilled Nursing Facility | 04126 | LA | — |

## Other

- **Enumeration date:** 12/02/2014
- **Last updated:** 12/02/2014