Doctor Name: | KELLY VILLARS |
NPI Number: | 1619912656 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 05264R |
Business Practice Address: | 103 Northpark Blvd Suite 205 Covington, LA - 704336119 |
Business Phone Number: | 9858717878 |
Business Fax Number: | |
Mailing Address: | 410 Avenue Palais Royal, COVINGTON |
State: | LA |
Postal Code: | 704336402 |
Phone Number: | 9858717878 |
Fax Number: | |
NPI Enumeration Date: | 06/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 05264R |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |