Individual
JEFFREY M PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2906 PLANTATION DR, BOSSIER CITY, LA 71111-5851
(318) 746-5295
(318) 746-5297
Mailing address
8660 FERN AVE STE 160, SHREVEPORT, LA 71105-5694
(318) 631-7999
(318) 631-9528
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
08020R
LA
2251X0800X
Orthopedic Physical Therapist
Primary
08020R
LA
Other
Enumeration date
09/11/2017
Last updated
07/21/2022
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