Provider Demographics
NPI:1154388114
Name:VEETERS, PHILIPPE ALOYSIUS (PT)
Entity type:Individual
Prefix:MR
First Name:PHILIPPE
Middle Name:ALOYSIUS
Last Name:VEETERS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5627 BANKERS AVE.
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808
Mailing Address - Country:US
Mailing Address - Phone:225-927-3000
Mailing Address - Fax:225-927-4183
Practice Address - Street 1:10343 SIEGEN LANE
Practice Address - Street 2:BLDG 3, SUITE A
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810
Practice Address - Country:US
Practice Address - Phone:225-767-4440
Practice Address - Fax:225-767-4441
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5T662225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5T662Medicare ID - Type Unspecified