# LOUISIANA PHYSICAL THERAPY CENTERS OF PINEVILLE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1407961865
- **Authorized official:** MR. KENNETH E MCKENZIE MPT (PHYSICAL THERAPIST OWNER)
- **Authorized official phone:** (318) 487-6525

## Contact information

- **Practice address:** 1135 EXPRESSWAY DRIVE, SUITE 100 B, PINEVILLE, LA 71360
- **Practice address phone:** (318) 487-6525
- **Practice address fax:** (318) 487-6527
- **Mailing address:** P O BOX 13643, ALEXANDRIA, LA 71315
- **Mailing address phone:** (318) 487-6525
- **Mailing address fax:** (318) 487-6527

## Taxonomy

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

## Other

- **Enumeration date:** 08/19/2006
- **Last updated:** 08/22/2020