# SELLERS PHYSICAL THERAPY, LLC

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

## Provider details

- **NPI number:** 1770844003
- **Authorized official:** KEVIN SELLERS PT (OWNER)
- **Authorized official phone:** (337) 739-9748

## Contact information

- **Practice address:** 1042 CAMELLIA BLVD, SUITE \# 16, LAFAYETTE, LA 70508-6680
- **Practice address phone:** (337) 739-9748
- **Mailing address:** 106 VILLAGE TREE DR, YOUNGSVILLE, LA 70592-5754
- **Mailing address phone:** (337) 739-9748

## Taxonomy

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

## Other

- **Enumeration date:** 06/04/2012
- **Last updated:** 06/04/2012