Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Therapeutic by Design Fitness and Wellness, LLC

Organization Physical Therapist · NPI 1790780120

Therapeutic by Design Fitness and Wellness, LLC is a Physical Therapist in Mandeville, Louisiana. Licensed in Louisiana. Registered with an NPI since 2005.

Licensed in
LA
In the registry since
2005
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1901 Highway 190 Ste 26
Mandeville, LA 70448-3495
Phone: (985) 778-2282
Fax: (866) 767-8329
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 04964 (LA)

Record details

NPI number1790780120
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Fabre Fairley — Member Manager · (985) 778-2282
NPI enumeratedJune 13, 2005
Last updated in NPPESSeptember 1, 2022
Certification dateSeptember 1, 2022
Mailing address1901 Highway 190 Ste 26, Mandeville, LA 70448-3495

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