Organization
THERATEAM OUTPATIENT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRENT SHEPHERD P.T. (ADMINISTRATOR)
(318) 518-0584
Entity
Organization
Contact information
Practice address
4615 HIGHWAY 80, HAUGHTON, LA 71037-7441
(318) 615-3003
(318) 615-3004
Mailing address
101 ISADORE ST, NATCHITOCHES, LA 71457-5747
(318) 238-2810
(318) 238-2811
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
04785
LA
Other
Enumeration date
11/28/2012
Last updated
02/27/2023
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