Provider Demographics
NPI:1346422888
Name:EXCEL PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:EXCEL PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARVIN
Authorized Official - Middle Name:J
Authorized Official - Last Name:LOUVIERE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-271-8056
Mailing Address - Street 1:28977 WALKER RD S
Mailing Address - Street 2:SUITE G
Mailing Address - City:WALKER
Mailing Address - State:LA
Mailing Address - Zip Code:70785-6049
Mailing Address - Country:US
Mailing Address - Phone:225-271-8056
Mailing Address - Fax:225-271-8057
Practice Address - Street 1:28977 WALKER RD S
Practice Address - Street 2:SUITE G
Practice Address - City:WALKER
Practice Address - State:LA
Practice Address - Zip Code:70785-6049
Practice Address - Country:US
Practice Address - Phone:225-271-8056
Practice Address - Fax:226-271-8057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-27
Last Update Date:2014-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA07076261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy