Individual
MRS. SUE A. MAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
509 PARK RD, KINDER, LA 70648-5306
(337) 738-2378
(337) 738-5850
Mailing address
509 PARK RD, KINDER, LA 70648-5306
(337) 738-2378
(337) 738-5850
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P. T. A1961G
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P. T. A1961G
PHYSICAL THERAPIST ASSIST
LA
Enumeration date
01/21/2007
Last updated
07/08/2007
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