# TRIFORM THERAPY 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:** 1487297388
- **Authorized official:** MONICA COONEY PT (OWNER)
- **Authorized official phone:** (985) 966-5961

## Contact information

- **Practice address:** 1500 LOBDELL AVE STE A, BATON ROUGE, LA 70806-8280
- **Practice address phone:** (985) 966-5961
- **Mailing address:** 1500 LOBDELL AVE STE A, BATON ROUGE, LA 70806-8280

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 10/23/2019
- **Last updated:** 10/23/2019