Provider Demographics
NPI:1003913013
Name:A & K PHYSICAL THERAPY
Entity Type:Organization
Organization Name:A & K PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:C
Authorized Official - Last Name:LABBE'
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:504-818-2300
Mailing Address - Street 1:663 DODGE AVE
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:LA
Mailing Address - Zip Code:70121-1209
Mailing Address - Country:US
Mailing Address - Phone:504-818-2300
Mailing Address - Fax:504-818-0022
Practice Address - Street 1:107 WALL BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70056-7106
Practice Address - Country:US
Practice Address - Phone:504-818-2300
Practice Address - Fax:504-818-0022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2011-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5CS98Medicare ID - Type Unspecified