Organization · NPI-2
Lyfe N Motion Pt LLC
Specialist/Technologist, Athletic Trainer · Harvey, LA
NPI number1225592579
StatusActive
Last updated in NPPESJan 30, 2019
Details
- NPI
- 1225592579
- Entity type
- Organization (NPI-2)
- Legal business name
- Lyfe N Motion Pt LLC
- Organization subpart
- No
- Enumeration date
- Jan 30, 2019
- Last updated
- Jan 30, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
3827 Spencer StHarvey, LA 70058-5910
Phone 504-628-6394
Mailing address
3857 Irwin Kuntz DrHarvey, LA 70058-2128
Phone 504-628-6394
Authorized official
Miapatrice Burrows-Allen
Owner
5046286394
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