Organization
BATES CHIROPRACTIC & SPORTS THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN LEE BATES D.C. (MANAGER/DOCTOR)
(318) 220-8753
Entity
Organization
Contact information
Practice address
7591 FERN AVE, 1502, SHREVEPORT, LA 71105-5750
(318) 220-8753
Mailing address
7591 FERN AVENUE, 1502, SHREVEPORT, LA 71105
(318) 220-8753
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1624
LA
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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