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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TONYA L MCCULLOCH, MPT, CWS

Active

TONYA L MCCULLOCH, MPT, CWS is a Physical Therapy Assistant healthcare provider located in SHREVEPORT, Louisiana. NPI 1124069927 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · SHREVEPORT, LA

Registration Details

NPI Number
1124069927
Provider Type
Individual
Gender
Female
NPI Issued
Jun 10, 2006 (20.183869252459 yrs)
Last Updated
Jun 7, 2011
License
04704 (LA)

Practice Information

Address
1500 LINE AVE
SHREVEPORT, LA, 711014639
Browse LA providers · Browse ZIP 71101
Phone
3182133800
Fax
3182133763
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in SHREVEPORT, LA

Name Credential NPI
MARTIN S YOUNG L.P.T. 1407854367
MR. LARRY NELS LARSEN P.T., A.T.C., S.T.S. 1497740088
TERRY L EBERHARDT PT 1558358101
LINDSAY TURNER CARADONNA PT 1265408868
MR. JASON RILEY MPT, ATC, LAT, CKTP 1861444200
DR. GREGORY JAMES REDMOND DPT 1407894355
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.