Organization
ST. JOHN PHYSICAL THERAPY, LLC
Active
Other names
Kinetix Orthopedic & Sports Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERWARD THOMAS NORSWORTHY JR. PT (MANAGING PARTNER)
(985) 652-9515
Entity
Organization
Contact information
Practice address
1959 HIGHWAY 3125 STE 1, LUTCHER, LA 70071-5641
(225) 869-9632
(225) 869-9633
Mailing address
1959 HIGHWAY 3125 STE 1, LUTCHER, LA 70071-5641
(225) 869-9632
(225) 869-9633
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/17/2012
Last updated
04/11/2016
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