Mallory Rae
NPI #1063385698 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1063385698
- Entity Type
- Individual
- Name
- Mallory Rae
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Sep 29, 2025
- Last Updated
- Sep 29, 2025
Practice Location
- Address
- 1501 KINGS HWY
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71103-4228
- Phone
- (318) 626-0000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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