Individual
WHITLEY MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
663 JORDAN ST, SHREVEPORT, LA 71101-4748
(318) 222-8892
(318) 222-8893
Mailing address
663 JORDAN ST, SHREVEPORT, LA 71101-4748
(318) 222-8892
(318) 222-8893
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
CP032581T
TX
225100000X
Physical Therapist
Primary
CP051880T
LA
225100000X
Physical Therapist
PT5159
AR
Other
Enumeration date
08/14/2022
Last updated
02/09/2026
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