# JACKSON PARISH THERAPY CENTER 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
- **Other names:** Fyzical Therapy & Balance Centers
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891794491
- **Authorized official:** JERRY V YARBOROUGH PT, DPT (OWNER)
- **Authorized official phone:** (318) 224-8994

## Contact information

- **Practice address:** 1701 COMMERCE ST, RUSTON, LA 71270-6659
- **Practice address phone:** (318) 224-8994
- **Practice address fax:** (318) 224-7094
- **Mailing address:** PO BOX 2846, RUSTON, LA 71273-2846
- **Mailing address phone:** (318) 224-8994
- **Mailing address fax:** (318) 224-7094

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 03825R | LA | — |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 07/18/2005
- **Last updated:** 12/28/2022