Michael E Alford, DPT

Individual provider Active NPI Physical Therapist · Hammond, LA

NPI 1740208917 · NPPES record last updated Apr 29, 2011

Key facts

NPI
1740208917
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
06788 (LA)
Practice address
1100 C M Fagan Dr
Suite 103
Hammond, LA 70403-5938
Phone
(985) 542-6664
Fax
(985) 542-6428
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
06788LAMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 06788 LA Yes

Addresses

Primary practice location

1100 C M Fagan Dr
Suite 103
Hammond, LA 70403-5938

Mailing address

1100 C M Fagan Dr
Suite 103
Hammond, LA 70403-5938
Phone (985) 542-6664

Other identifiers

IdentifierTypeStateIssuer
C3657OtherLABLUE CROSS

Other providers in Hammond, LA

All providers in Hammond, LA · Physical Therapist in Louisiana

Sources for this page

Verify at the official NPI Registry.