# SPINE CARE OF METAIRIE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760728133
- **Authorized official:** DR. WILLIAM M BATHERSON D.C. (MANAGER)
- **Authorized official phone:** (504) 828-0880

## Contact information

- **Practice address:** 3017 VETERANS MEMORIAL BLVD, METAIRIE, LA 70002-6046
- **Practice address phone:** (504) 828-0880
- **Practice address fax:** (504) 828-3008
- **Mailing address:** 3017 VETERANS MEMORIAL BLVD, METAIRIE, LA 70002-6046
- **Mailing address phone:** (504) 828-0880
- **Mailing address fax:** (504) 828-3008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 12/12/2012
- **Last updated:** 06/02/2013