IndividualActive
Destry Patterson, PTA
NPI 1164022141 · Physical Therapy Assistant · New Orleans, LA
Provider details
- NPI number
- 1164022141
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- A10739 (LA)
Mailing address
2636 Somerset Dr
New Orleans, LA 70131-5228
Registry dates
- Enumerated
- 2020-10-28
- Last updated
- 2020-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.