Individual
NANETTE M MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T
Contact information
Practice address
1501 KINGS HWY, LSUHSC-SCHOOL OF ALLIED HEALTH PROFESSIONALS, SHREVEPORT, LA 71103-4228
(318) 813-2960
(318) 813-2989
Mailing address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 813-2960
(318) 813-2989
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
225XL0004X
Low Vision Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174173
—
LA
05
—
1320498
—
LA
05
—
1884324
—
LA
Enumeration date
07/26/2006
Last updated
03/08/2023
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