Organization
SUPERIOR SPINE AND SPORTS PHYSICAL THERAPY INC
Active
Other names
S3PT
Organization subpart
No
Provider details
NPI number
Authorized official
KOURTNEY ELLIS DPT (CO-OWNER)
(337) 513-7107
Entity
Organization
Contact information
Practice address
5750 LAKE STREET, SUITE 100, LAKE CHARLES, LA 70605
(337) 513-7107
Mailing address
5750 LAKE STREET, SUITE 100, LAKE CHARLES, LA 70605
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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