# ANATOMIX PHYSICAL THERAPY INC

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

## Provider details

- **NPI number:** 1376577015
- **Authorized official:** MICHAEL C CONLIN PT (OWNER)
- **Authorized official phone:** (985) 542-6664

## Contact information

- **Practice address:** 1100 C M FAGAN DR, SUITE 103, HAMMOND, LA 70403-5938
- **Practice address phone:** (985) 542-6664
- **Practice address fax:** (985) 542-6428
- **Mailing address:** 1100 C M FAGAN DR, SUITE 103, HAMMOND, LA 70403-5938
- **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:** 07/10/2006
- **Last updated:** 07/29/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | C3657 | BLUE CROSS | LA |