MALLORY RAE
Physical Therapist
Active
Individual
NPI: 1063385698
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | Yes | 12179 (LA) |
Frequently Asked Questions
NPI 1063385698 is the National Provider Identifier for MALLORY RAE, a Physical Therapist provider located in Shreveport, LA. This NPI was enumerated on September 29, 2025.
MALLORY RAE practices at 1501 KINGS HWY, Shreveport, LA 71103.
Quick Facts
- NPI
- 1063385698
- Type
- Individual
- Enumerated
- Sep 29, 2025
- Last Updated
- Sep 29, 2025
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