Provider Demographics
NPI:1184192254
Name:MILLS, WILLIAM KEITH II (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:KEITH
Last Name:MILLS
Suffix:II
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5211 ESSEN LN STE 3
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-3564
Mailing Address - Country:US
Mailing Address - Phone:337-277-7788
Mailing Address - Fax:
Practice Address - Street 1:5211 ESSEN LN STE 3
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-3564
Practice Address - Country:US
Practice Address - Phone:225-238-7145
Practice Address - Fax:225-308-8219
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-07
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA10013R2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic