Individual
ROY HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
8128 FLORIDA BLVD, DENHAM SPRINGS, LA 70726-7865
(225) 791-8644
Mailing address
8128 FLORIDA BLVD, DENHAM SPRINGS, LA 70726-7865
(225) 791-8644
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04126
LA
314000000X
Skilled Nursing Facility
04126
LA
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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