PEYTON YVETTE WHATLEY PTA
Individual Provider (NPI-1)
Active
Physical Medicine & Rehabilitation, Sports Medicine
Provider Information
- NPI Number
1801652466- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 6969 FERN LOOP, SHREVEPORT, LA, 711054159
- Phone
- (318) 383-0022
Specialties & Taxonomies
Physical Medicine & Rehabilitation, Sports Medicine
Primary License: LA #A11034R