IndividualActive
Jackson Lewis
NPI 1013847003 · Orthopedic Physical Therapist · Shreveport, LA
Provider details
- NPI number
- 1013847003
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 12341 (LA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
663 Jordan St
Shreveport, LA 71101-4748
Phone: (318) 918-8619
Approximate (ZIP-level) locationGet directions
Mailing address
663 Jordan St
Shreveport, LA 71101-4748
Registry dates
- Enumerated
- 2026-05-21
- Last updated
- 2026-05-26
- Certified
- 2026-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.