# PHYSICAL THERAPY SERVICES OF WEST LOUISIANA INC

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

## Provider details

- **NPI number:** 1417916685
- **Authorized official:** MRS. MELISSA JEANE (ADMINISTRATOR)
- **Authorized official phone:** (337) 238-9931

## Contact information

- **Practice address:** 301 W FERTITTA BLVD STE 4, LEESVILLE, LA 71446-4665
- **Practice address phone:** (337) 238-9931
- **Practice address fax:** (337) 239-0066
- **Mailing address:** 301 W FERTITTA BLVD STE 4, LEESVILLE, LA 71446-4665
- **Mailing address phone:** (337) 238-9931
- **Mailing address fax:** (337) 239-0066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/17/2006
- **Last updated:** 04/21/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1651991 | — | LA |