Kelly Baracco in Opelousas - Physical Therapist

Kelly Baracco - NPI 1356564785

Kelly Baracco is a Physical Therapist in Opelousas, Louisiana. Kelly Baracco practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Kelly Baracco is 1356564785. The last update date is 2007-07-08.

Kelly Baracco's current location address is 4027 I 49 S Service Rd, Opelousas, Louisiana. You can contact this provider via phone number 3379484212 and fax number 3379429979. The mailing address for Kelly Baracco is 4027 I 49 S Service Rd, Opelousas, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly Baracco
Address 4027 I 49 S Service Rd, Opelousas, Louisiana
Phone Number 3379484212
Fax Number 3379429979
Sole Proprietor N
Credentials PT

NPI Number Detail

NPI Number 1356564785
Provider Enumeration Date 2007-04-11
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4027 I 49 S Service Rd
City Opelousas
State Louisiana (LA)
Post Code 705700757
Phone Number 3379484212
Fax Number 3379429979

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 6392
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6392 LA PT LICENSE #

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FAQs about Kelly Baracco

What is the unique identifier code issued to Kelly Baracco by the Centers for Medicare & Medicaid Services?

The Kelly Baracco has been assigned the NPI (National Provider Identifier) 1356564785. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Kelly Baracco's facilities are geographically located?

The facilities of Kelly Baracco are physically situated at the following location: 4027 I 49 S Service Rd, Opelousas, LA, 705700757.

What is Kelly Baracco's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kelly Baracco's area of specialization is Physical Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225100000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1356564785 to Kelly Baracco?

The Centers for Medicare & Medicaid Services originally issued the 1356564785 to Kelly Baracco on 2007-04-11.

When was the information regarding Kelly Baracco, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Kelly Baracco, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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