SearchLouisianaPhysical Therapy Assistant

Mark Klocko, PTA

NPI 1780070763 · on the registry since 2015 · sole proprietor

Practice

Address
1401 Oden St Unit 25
Shreveport, LA 71104
Phone
(318) 560-0627

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-04-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana