Individual provider · Type 1 NPI

Mallory Rae

Physical Therapist · Shreveport, LA

NPI number 1063385698 Active

Practice location

1501 Kings Hwy
Shreveport, LA 71103-4228

Call (318) 626-0000 Map

Mailing address

2605 Rosedale Pl
Bossier City, LA 71111-3458

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X12179 (LA)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1063385698

Mallory Rae's National Provider Identifier is 1063385698, issued on Sep 29, 2025. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Shreveport, LA. The record was last updated on Sep 29, 2025.