# REFORM PHYSICAL THERAPY, LLC

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

## Provider details

- **NPI number:** 1568986628
- **Authorized official:** JEREMIAH BIEHL DPT (OWNER, PHYSICAL THERAPIST)
- **Authorized official phone:** (318) 446-7355

## Contact information

- **Practice address:** 3304 MASONIC DR STE 4001, ALEXANDRIA, LA 71301-4255
- **Practice address phone:** (318) 446-7355
- **Mailing address:** PO BOX 45, BALL, LA 71405-0045
- **Mailing address phone:** (318) 446-7355

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 08758R | LA | Yes |
| 225100000X | Physical Therapist | 08759R | LA | — |

## Other

- **Enumeration date:** 07/31/2017
- **Last updated:** 07/31/2017