Katherine Dornan

Individual provider Active NPI Physical Therapist · Luling, LA

NPI 1992675466 · NPPES record last updated Nov 10, 2025

Key facts

NPI
1992675466
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
11936 (LA)
Practice address
1057 Paul Maillard Rd
Luling, LA 70070-4349
Phone
(985) 785-3684
NPI assigned
Nov 10, 2025
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
11936LAMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11936 LA Yes

Addresses

Primary practice location

1057 Paul Maillard Rd
Luling, LA 70070-4349

Mailing address

423 22ND St
New Orleans, LA 70124-1312

Other providers in Luling, LA

All providers in Luling, LA · Physical Therapist in Louisiana

Sources for this page

Verify at the official NPI Registry.