NPI 1649384983

James Fred Sullivan, RKTCEP

Practitioner Kinesiotherapist Shreveport, LA

Practice location

Address: 510 E Stoner Ave, Shreveport, LA 71101-4243
Phone: (318) 424-6106
Fax: (318) 429-5727
Mailing address: 110 Hunter Lee Ln, Stonewall, LA 71078-4800

Registered specialties

Kinesiotherapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 226300000X Licence 621 (LA)

Other Kinesiotherapist providers in Louisiana →

Registry record

NPI: 1649384983
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.