Individual
JUSTIN THOMAS LOFTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA, LMT
Contact information
Practice address
215 STARING LN, BATON ROUGE, LA 70810-4064
(225) 416-2733
Mailing address
215 STARING LN, BATON ROUGE, LA 70810-4064
(225) 416-2733
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A8143
LA
225700000X
Massage Therapist
LA9243
LA
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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