Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist |
NPI | 1710314356 |
---|---|
Provider Name | Mr. Jeffrey T Floyd |
First Address | Shreveport, LA 71101-4242 |
Second Address | Shreveport, LA 71101-4242 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2013 |
Last Update Date | 27/09/2013 |