Provider Demographics
NPI:1972040228
Name:KING, LAUREN CHAPPETTA (PT,DPT)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:CHAPPETTA
Last Name:KING
Suffix:
Gender:F
Credentials:PT,DPT
Other - Prefix:MS
Other - First Name:LAUREN
Other - Middle Name:ELIZABETH
Other - Last Name:CHAPPETTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT,DPT
Mailing Address - Street 1:MOVEMENT SCIENCE CENTER, 1201 OCHSNER BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433
Mailing Address - Country:US
Mailing Address - Phone:985-801-7145
Mailing Address - Fax:985-801-7146
Practice Address - Street 1:MOVEMENT SCIENCE CENTER, 1201 OCHSNER BLVD
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433
Practice Address - Country:US
Practice Address - Phone:985-801-7145
Practice Address - Fax:985-801-7146
Is Sole Proprietor?:No
Enumeration Date:2017-01-25
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic