IndividualActive
Jason Desselle
NPI 1851774376 · Prosthetics Case Management · Pineville, LA
Provider details
- NPI number
- 1851774376
- Entity type
- Individual
- Primary specialty
- Prosthetics Case ManagementOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- C50072 (LA)
Specialties & taxonomies
Other Service Providers
Practice location
2495 Shreveport Hwy # 71
Pineville, LA 71360-4044
Phone: (318) 466-4020
Approximate (ZIP-level) locationGet directions
Mailing address
2495 Shreveport Hwy # 71
Pineville, LA 71360-4044
Registry dates
- Enumerated
- 2015-07-01
- Last updated
- 2015-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.