Organization
PERFORMANCE PHYSICAL THERAPY OF MINDEN, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICKEY DON KILLIAN P.T. (OWNER/THERAPIST)
(318) 371-6666
Entity
Organization
Contact information
Practice address
906 HOMER RD, MINDEN, LA 71055-3024
(318) 371-6666
(318) 371-9966
Mailing address
906 HOMER RD, MINDEN, LA 71055-3024
(318) 371-6666
(318) 371-9966
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT306R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1112810
—
LA
Enumeration date
06/21/2005
Last updated
03/25/2009
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