Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mallory Rae

Individual provider Physical Therapist · NPI 1063385698

Mallory Rae is a Physical Therapist in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2025.

Licensed in
LA
In the registry since
2025

Practice location Address checks out

1501 Kings Hwy
Shreveport, LA 71103-4228
Phone: (318) 626-0000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 12179 (LA)

Record details

NPI number1063385698
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 29, 2025
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 29, 2025

Other providers in Shreveport