IndividualActive
Alexandra Takagishi
NPI 1083566459 · Physical Therapist · Deridder, LA
Provider details
- NPI number
- 1083566459
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 12265 (LA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
614 N Pine St
Deridder, LA 70634-3546
Phone: (337) 202-0568
Approximate (ZIP-level) locationGet directions
Mailing address
16516 Howard St Apt a
Fort Polk, LA 71459-7907
Registry dates
- Enumerated
- 2026-02-10
- Last updated
- 2026-02-10
- Certified
- 2026-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.