Individual
TAYLOR BECKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2642 YOUREE DR, SHREVEPORT, LA 71104-3616
(318) 716-4664
Mailing address
2642 YOUREE DR, SHREVEPORT, LA 71104-3616
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A09752R
LA
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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