Provider Demographics
NPI:1245567460
Name:THERAPY FOR HER, LLC
Entity type:Organization
Organization Name:THERAPY FOR HER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:KENT
Authorized Official - Last Name:SCARLE
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:225-241-4212
Mailing Address - Street 1:187 GREENBRIAR BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-7234
Mailing Address - Country:US
Mailing Address - Phone:985-809-3250
Mailing Address - Fax:985-809-3251
Practice Address - Street 1:187 GREENBRIAR BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-7234
Practice Address - Country:US
Practice Address - Phone:985-809-3250
Practice Address - Fax:985-809-3251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-09
Last Update Date:2009-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA05176261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy