NPI 1114076353
Betty Lynette Crain, PTA
Practice location
- Address
- 1800 Buckner St Suite C200, Shreveport, LA 71101-4440
- Phone
- (318) 227-2009
- Fax
- (318) 227-9025
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1114076353
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 9 Jan 2007
- Record last updated
- 8 Jul 2007
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.