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Contact Information

ARCHNA SHASTA
7591 FERN AVE STE 1203
SHREVEPORT, LA71105-5763
 Phone: 318-828-2972
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
 

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for ARCHNA SHASTA · (Female)

NPI Number 1023132131
Status Active
Credentials
Entity Individual
Enumeration date 03/16/2007
Last updated 09/12/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 08363R
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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