Provider Demographics
NPI:1013723972
Name:SAVOY, PHILLIP MICHAEL (LMT)
Entity type:Individual
Prefix:MR
First Name:PHILLIP
Middle Name:MICHAEL
Last Name:SAVOY
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3098 HILLERY DR TRLR 6
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70611-3124
Mailing Address - Country:US
Mailing Address - Phone:337-263-5371
Mailing Address - Fax:
Practice Address - Street 1:3814 RYAN ST,
Practice Address - Street 2:STE 200
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70605
Practice Address - Country:US
Practice Address - Phone:337-488-8685
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-05
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LALA-9232225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist