Individual
ANNESKA NICOLE WHITENACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
700 STOCKWELL RD STE 400, BOSSIER CITY, LA 71111-7027
(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
Primary
12232R
LA
225100000X
Physical Therapist
PT37537
FL
Other
Enumeration date
08/17/2021
Last updated
11/11/2025
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