Organization
ROCK ISLAND PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TROY KETCHUM PT (MANAGING MEMBER)
(318) 254-3354
Entity
Organization
Contact information
Practice address
927 N TRENTON ST, RUSTON, LA 71270-3327
(318) 513-3008
(318) 513-3009
Mailing address
2912 PAYNTER DR, RUSTON, LA 71270-5242
(318) 254-3354
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/13/2020
Last updated
08/17/2020
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