OrganizationActive
Innovative Suit Therapy and Fitness, LLC
NPI 1679715981 · Physical Therapy Clinic/Center · Covington, LA
Provider details
- NPI number
- 1679715981
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Carrie Deluca Glahn, Physical Therapist(985) 792-7700
- License
- 04135 (LA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
70493 Highway 21 Ste 600
Covington, LA 70433-7018
Phone: (985) 792-7700
Fax: (985) 247-8220
Approximate (ZIP-level) locationGet directions
Mailing address
70493 Highway 21 Ste 600
Covington, LA 70433-7018
Registry dates
- Enumerated
- 2009-04-01
- Last updated
- 2024-08-06
- Certified
- 2024-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.