Individual
RICKEY DON KILLIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
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
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT306R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649276197
BUSINESS NPI
LA
Enumeration date
12/27/2006
Last updated
03/25/2009
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