Provider Demographics
NPI:1801180492
Name:BIEHL, JEREMIAH (DPT)
Entity Type:Individual
Prefix:MR
First Name:JEREMIAH
Middle Name:
Last Name:BIEHL
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 45
Mailing Address - Street 2:
Mailing Address - City:BALL
Mailing Address - State:LA
Mailing Address - Zip Code:71405-0045
Mailing Address - Country:US
Mailing Address - Phone:318-446-7355
Mailing Address - Fax:
Practice Address - Street 1:3304 MASONIC DR
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-4255
Practice Address - Country:US
Practice Address - Phone:318-446-7355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13125225100000X
LA08759R225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist