OrganizationActive
Cope Aquatic Therapy, LLC
NPI 1508377623 · Physical Therapy Clinic/Center · Zachary, LA
Provider details
- NPI number
- 1508377623
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mario Johnson, Ceo/Owner(225) 772-4677
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
4242 Highway 19 Ste B-3
Zachary, LA 70791-3982
Phone: (225) 772-4677
Approximate (ZIP-level) locationGet directions
Mailing address
4242 Highway 19 Ste B-3
Zachary, LA 70791-3982
Registry dates
- Enumerated
- 2017-10-16
- Last updated
- 2017-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.