SearchLouisiana225100000X

Michael Wimberly, PT,MPT

NPI 1700937950 · on the registry since 2007

Practice

Address
107 Front St Ste 230
Vidalia, LA 71373
Phone
(318) 336-2224
Fax
(318) 336-6068
Organisation at this address
River Park Asc Llc
Vicksburg Clinic Llc
Royal Surgery Center
J H Fairbanks Md Pllc
Tillman Medical Group Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
225100000X
225100000X
Also registered as
225100000X
Licence states on file
LA, MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-10-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana