Whalio Doctors

NPI 1083840060

Kristi Lee Kellogg, PTA

Practitioner Physical Therapy Assistant Shreveport, LA

Practice location

Address
7330 Fern Ave, Shreveport, LA 71105-4971
Phone
(866) 730-0707

Registered specialties

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 006809-1 (NY)

Registry record

NPI
1083840060
Entity type
Individual
Sex (as registered)
Female
NPI issued
4 Jun 2009
Record last updated
4 Jun 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.