NICHOLAS REYNARD HUCKABY

BOSSIER CITY, LA
NPI1992063481
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: LA  06844)
Enumeration Date2012-05-02
Last Update Date2012-05-02
Business Address
Mr. NICHOLAS REYNARD HUCKABY DPT
2575 AIRLINE DR
BOSSIER CITY, LA 71111-5812
Phone number: 318-286-5445
Mailing Address
Mr. NICHOLAS REYNARD HUCKABY DPT
2376 FERNBROOK DR
SHREVEPORT, LA 71118-5215
Phone number: 318-686-0601