Search › Louisiana › 225100000X
Jake Conly, PT, DPT
NPI 1710561915 · on the registry since 2021
Practice
- Address
- 5510 Airline Dr Ste 104
Bossier City, LA 71111 - Phone
- (318) 935-9075
- Fax
- (318) 935-9076
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-05-12
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