Provider Demographics
NPI:1710927330
Name:LINX PHYSICAL THERAPY & WELLNESS
Entity Type:Organization
Organization Name:LINX PHYSICAL THERAPY & WELLNESS
Other - Org Name:LINX PHYSICAL THERAPY AND WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARCY
Authorized Official - Middle Name:L
Authorized Official - Last Name:LINXWILER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:225-348-2257
Mailing Address - Street 1:25550 JUBAN RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70726
Mailing Address - Country:US
Mailing Address - Phone:225-665-8600
Mailing Address - Fax:225-665-8009
Practice Address - Street 1:12505 HOMEPORT DR
Practice Address - Street 2:SUITE A
Practice Address - City:MAUREPAS
Practice Address - State:LA
Practice Address - Zip Code:70449-3045
Practice Address - Country:US
Practice Address - Phone:225-348-2257
Practice Address - Fax:225-675-3647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-08
Last Update Date:2014-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty