Provider Demographics
NPI:1346964764
Name:WINNFIELD PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:WINNFIELD PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DPT/PART OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:D
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:318-470-3111
Mailing Address - Street 1:PO BOX 255
Mailing Address - Street 2:
Mailing Address - City:STONEWALL
Mailing Address - State:LA
Mailing Address - Zip Code:71078-0255
Mailing Address - Country:US
Mailing Address - Phone:318-648-7482
Mailing Address - Fax:318-582-3396
Practice Address - Street 1:6252 HIGHWAY 167 N STE D
Practice Address - Street 2:
Practice Address - City:WINNFIELD
Practice Address - State:LA
Practice Address - Zip Code:71483-6072
Practice Address - Country:US
Practice Address - Phone:318-648-7482
Practice Address - Fax:318-582-3396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-29
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy