IndividualActive
Brittany Jellum, PTA
NPI 1972741197 · Physical Therapy Assistant · Shreveport, LA
Provider details
- NPI number
- 1972741197
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- A7232 (LA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1800 Buckner St
Suite C 200
Shreveport, LA 71101-4440
Phone: (318) 227-9002
Fax: (318) 227-9025
Approximate (ZIP-level) locationGet directions
Mailing address
1800 Buckner St
Shreveport, LA 71101-4440
Registry dates
- Enumerated
- 2009-01-26
- Last updated
- 2009-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.