Provider Demographics
NPI:1134208671
Name:NUSS, HENRY R JR (PT)
Entity type:Individual
Prefix:MR
First Name:HENRY
Middle Name:R
Last Name:NUSS
Suffix:JR
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1530 LAPALCO BLVD
Mailing Address - Street 2:SUITE 21
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058
Mailing Address - Country:US
Mailing Address - Phone:504-361-9275
Mailing Address - Fax:504-361-9635
Practice Address - Street 1:1530 LAPALCO BLVD
Practice Address - Street 2:SUITE 21
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058
Practice Address - Country:US
Practice Address - Phone:504-361-9275
Practice Address - Fax:504-361-9635
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LAPT00372225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5X371Medicare ID - Type Unspecified