Provider Demographics
NPI:1669553566
Name:FOSTER, TROY L (RKT)
Entity type:Individual
Prefix:MR
First Name:TROY
Middle Name:L
Last Name:FOSTER
Suffix:
Gender:M
Credentials:RKT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1102 MERRYDALE DR
Mailing Address - Street 2:MAILING P. O. BOX 472
Mailing Address - City:PICAYUNE
Mailing Address - State:MS
Mailing Address - Zip Code:39466-5419
Mailing Address - Country:US
Mailing Address - Phone:601-798-2474
Mailing Address - Fax:504-310-6264
Practice Address - Street 1:1601 PERDIDO ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-1262
Practice Address - Country:US
Practice Address - Phone:504-568-0811
Practice Address - Fax:504-310-6264
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY782226300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes226300000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersKinesiotherapist