# JEREMY LEVI CAMPBELL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1417296575
- **Gender:** Man
- **Credential:** DPT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 08505 | LA | Yes |

## Other

- **Enumeration date:** 02/11/2013
- **Last updated:** 06/17/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 08505 | LOUISIANA PHYSICAL THERAPY BOARD | LA |