Austin Henderson
Austin Henderson is a Physical Therapist in Private Practice in Ponchatoula, Louisiana. Qualified in 2022, 4 years ago. Practices with Ponchatoula Therapy, a 2-clinician group and accepts Medicare assignment. Licensed in Louisiana.
- Years since qualifying
- 4
- Licensed in
- LA
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
132 S 6th StPonchatoula, LA 70454-3317
Phone: (985) 386-6884
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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 11216 (LA) |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1366907388 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 4, 2019 |
| Last updated in NPPES | May 23, 2022 |
| Certification date | May 23, 2022 |
| Mailing address | 132 S 6th St, Ponchatoula, LA 70454-3317 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Ponchatoula Therapy — 2 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Ponchatoula
-
Kenneth Trahan
833 Lee Dr, Ponchatoula, LA 70454-8123 · (985) 981-1466