# LORI L WHEAT PT, OCS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wheat Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528427630
- **Authorized official:** TRICIA NELSON (OFFICE MANAGER)
- **Authorized official phone:** (318) 238-4480

## Contact information

- **Practice address:** 733 KEYSER AVE, SUITE 100, NATCHITOCHES, LA 71457
- **Practice address phone:** (318) 238-4480
- **Mailing address:** 733 KEYSER AVE, SUITE 100, NATCHITOCHES, LA 71457
- **Mailing address phone:** (318) 238-4480

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 01926 | LA | Yes |
| 225100000X | Physical Therapist | 04985 | LA | — |

## Other

- **Enumeration date:** 02/17/2016
- **Last updated:** 02/17/2016