# WESTLAKE PHYSICAL THERAPY LLC

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

## Provider details

- **NPI number:** 1760022701
- **Authorized official:** BRANDI STACY DPT (PHYSICAL THERAPIST)
- **Authorized official phone:** (337) 405-9379

## Contact information

- **Practice address:** 1756 GOLDEN RD, SULPHUR, LA 70665-8199
- **Practice address phone:** (337) 405-9379
- **Mailing address:** 1756 GOLDEN RD, SULPHUR, LA 70665-8199
- **Mailing address phone:** (337) 405-9379

## Taxonomy

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

## Other

- **Enumeration date:** 01/07/2020
- **Last updated:** 01/07/2020