Tonya L Mcculloch in Shreveport - Physical Therapist
Tonya L Mcculloch - NPI 1124069927
Tonya L Mcculloch is a Physical Therapist in Shreveport, Louisiana. Tonya L Mcculloch practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Tonya L Mcculloch is 1124069927. The last update date is 2011-06-07.
Tonya L Mcculloch's current location address is 1500 Line Ave, Shreveport, Louisiana. You can contact this provider via phone number 3182133800 and fax number 3182133763. The mailing address for Tonya L Mcculloch is 1500 Line Ave, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tonya L Mcculloch |
|---|---|
| Address | 1500 Line Ave, Shreveport, Louisiana |
| Phone Number | 3182133800 |
| Fax Number | 3182133763 |
| Sole Proprietor | N |
| Credentials | MPT, CWS |
NPI Number Detail
| NPI Number | 1124069927 |
|---|---|
| Provider Enumeration Date | 2006-06-10 |
| Last Updated Date | 2011-06-07 |
Provider Mailing Address Detail
| Address | 1500 Line Ave |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711014639 |
| Phone Number | 3182133800 |
| Fax Number | 3182133763 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 4704 |
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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 |
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What is the unique provider identifier assigned to Tonya L Mcculloch?
The Tonya L Mcculloch has been issued the NPI (National Provider Identifier) 1124069927 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Tonya L Mcculloch is located?
The Tonya L Mcculloch is situated at the following address: 1500 Line Ave, Shreveport, LA, 711014639.
What is Tonya L Mcculloch's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Tonya L Mcculloch is Physical Therapist, and the taxonomy code that classifies this field of practice is 225100000X.
On what date was the 1124069927 assigned to Tonya L Mcculloch?
The Tonya L Mcculloch was issued its 1124069927 on 2006-06-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Tonya L Mcculloch's information last updated?
The Tonya L Mcculloch's information was last updated on 2011-06-07.
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