OrganizationActive
Advanced Wellness Louisiana LLC
NPI 1861919060 · Physical Therapist · Baton Rouge, LA
Provider details
- NPI number
- 1861919060
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Kristopher Grunewald, Owner/Physical Therapist(225) 202-6124
- License
- 07612 (LA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
9808 Bluebonnet Blvd Ste 201
Baton Rouge, LA 70810-6442
Phone: (225) 202-6124
Approximate (ZIP-level) locationGet directions
Mailing address
2023 N Woodchase Ct
Baton Rouge, LA 70808-4023
Registry dates
- Enumerated
- 2017-08-28
- Last updated
- 2017-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.