Doctor Name: | JOHN WESLEY THOMPSON |
NPI Number: | 1649568536 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 08075 |
Business Practice Address: | 1450 Claiborne Ave Shreveport, LA - 711034204 |
Business Phone Number: | 3188132962 |
Business Fax Number: | 3188132981 |
Mailing Address: | 1219 Church St, ZACHARY |
State: | LA |
Postal Code: | 707912347 |
Phone Number: | 2256587751 |
Fax Number: | 2256587753 |
NPI Enumeration Date: | 07/13/2011 |
NPI Last Update Date: | 09/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 08075 |
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 |