Premier Performance Physical Therapy And Sports Rehab

Physical Therapist · Deridder, LA

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At a glance

243 E 1St St, Deridder, LA 70634-4105

NPPES record updated Apr 23, 2018. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
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Insurance participation and appointment availability are not established by these public records.

Practice location

243 E 1St St
Deridder, LA 70634-4105
Professional details: NPI, taxonomy & registry record
NPI1437646767
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Registry details

Primary taxonomy
Physical Therapist
Taxonomy code
225100000X
Enumeration date
Apr 23, 2018
Record updated
Apr 23, 2018
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Physical Therapist

225100000X · Primary

License reported: 09007R LA

Physical Therapist

225100000X

License reported: 08870R LA

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

243 E 1St St
Deridder, LA 70634-4105
Phone
(936) 465-6282
Mailing address
192 LA-3226

DERIDDER, LA 70634
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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