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

Mr. James Fred Sullivan, RKT, CEP

Individual provider Kinesiotherapist · NPI 1649384983

Mr. James Fred Sullivan, RKT, CEP is a Kinesiotherapist in Shreveport, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2006

Practice location Address checks out

510 E Stoner Ave
Shreveport, LA 71101-4243
Phone: (318) 424-6106
Fax: (318) 429-5727
Show map & directions

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

Specialties & licences

Kinesiotherapist (primary) Taxonomy 226300000X · Licence 621 (LA)

Record details

NPI number1649384983
Entity typeIndividual (Type 1)
GenderMale
Credentials RKT , CEP
Sole proprietorYes
NPI enumeratedAugust 17, 2006
Last updated in NPPESJuly 8, 2007

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