IndividualActive
Peyton Whatley, PTA
NPI 1801652466 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Shreveport, LA
Provider details
- NPI number
- 1801652466
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- A11034R (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
6969 Fern Loop
Shreveport, LA 71105-4159
Phone: (318) 383-0022
Approximate (ZIP-level) locationGet directions
Mailing address
135 Sirman Rd
Benton, LA 71006-4116
Registry dates
- Enumerated
- 2024-02-22
- Last updated
- 2024-02-22
- Certified
- 2024-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.