Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Premier Performance Physical Therapy and Sports Rehab

Organization Physical Therapist · NPI 1437646767

Premier Performance Physical Therapy and Sports Rehab is a Physical Therapist in Deridder, Louisiana. Licensed in Louisiana. Registered with an NPI since 2018.

Licensed in
LA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

243 E 1st St
Deridder, LA 70634-4105
Phone: (936) 465-6282
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 09007R (LA)
Physical Therapist Taxonomy 225100000X · Licence 08870R (LA)

Record details

NPI number1437646767
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Russell Hearne — Physical Therapist · (936) 465-6282
NPI enumeratedApril 23, 2018
Last updated in NPPESApril 23, 2018
Mailing address192 La-3226, Deridder, LA 70634

Other providers in Deridder