Provider Demographics
NPI:1871891366
Name:BRANDI FURR PHYSICAL THERAPY, LLC
Entity type:Organization
Organization Name:BRANDI FURR PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRANDI
Authorized Official - Middle Name:KERR
Authorized Official - Last Name:FURR
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:225-928-0048
Mailing Address - Street 1:8718 OLD HAMMOND HWY
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-1323
Mailing Address - Country:US
Mailing Address - Phone:225-928-0048
Mailing Address - Fax:225-928-0048
Practice Address - Street 1:8718 OLD HAMMOND HWY
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-1323
Practice Address - Country:US
Practice Address - Phone:225-928-0048
Practice Address - Fax:225-928-0048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-07
Last Update Date:2011-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA05155225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty