IndividualActive
Jeffrey Phillips, PT
NPI 1104345206 · Orthopedic Physical Therapist · Bossier City, LA
Provider details
- NPI number
- 1104345206
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- License
- 08020R (LA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2906 Plantation Dr
Bossier City, LA 71111-5851
Phone: (318) 746-5295
Fax: (318) 746-5297
Approximate (ZIP-level) locationGet directions
Mailing address
8660 Fern Ave Ste 160
Shreveport, LA 71105-5694
Additional practice locations (1)
- 8660 Fern Ave Ste 160Shreveport, LA 71105-5694Phone: (318) 631-7999Fax: (318) 631-9528
Registry dates
- Enumerated
- 2017-09-11
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.