# KINECTED PHYSICAL THERAPY & WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053038414
- **Authorized official:** DR. LATISHA WILLIAMS PT, DPT (OWNER)
- **Authorized official phone:** (318) 408-1600

## Contact information

- **Practice address:** 635 BERT KOUNS INDUSTRIAL LOOP STE 400, SHREVEPORT, LA 71118-5704
- **Practice address phone:** (318) 408-1600
- **Mailing address:** 2535 BERT KOUNS INDUSTRIAL LOOP, STE 203 \#123, SHREVEPORT, LA 71118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 10/25/2022
- **Last updated:** 10/25/2022