Provider Demographics
NPI:1003770181
Name:QUAD C PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:QUAD C PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEARSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:COOLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-239-3460
Mailing Address - Street 1:PO BOX 127
Mailing Address - Street 2:
Mailing Address - City:MANY
Mailing Address - State:LA
Mailing Address - Zip Code:71449-0127
Mailing Address - Country:US
Mailing Address - Phone:337-239-3460
Mailing Address - Fax:337-239-3462
Practice Address - Street 1:304 E MAIN ST
Practice Address - Street 2:
Practice Address - City:VILLE PLATTE
Practice Address - State:LA
Practice Address - Zip Code:70586-4608
Practice Address - Country:US
Practice Address - Phone:337-466-4255
Practice Address - Fax:337-239-3462
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:QUAD C PHYSICAL THERAPY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-12-12
Last Update Date:2025-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty