Provider Demographics
NPI:1215962667
Name:MAY, DARRYL L (PT)
Entity type:Individual
Prefix:MR
First Name:DARRYL
Middle Name:L
Last Name:MAY
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 1:7936 OFFICE PARK BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-7605
Mailing Address - Country:US
Mailing Address - Phone:225-201-0002
Mailing Address - Fax:225-201-0040
Practice Address - Street 1:7936 OFFICE PARK BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-7605
Practice Address - Country:US
Practice Address - Phone:225-201-0002
Practice Address - Fax:225-201-0040
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA00870225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
4B603C802Medicare ID - Type Unspecified