Healthcare Provider Details

I. General information

NPI: 1730010117
Provider Name (Legal Business Name): BAILEE CLAIRE LIPARI DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 BARKSDALE BLVD
BOSSIER CITY LA
71112-4504
US

IV. Provider business mailing address

808 STEWART DR STE A
SHREVEPORT LA
71106-7433
US

V. Phone/Fax

Practice location:
  • Phone: 318-606-5262
  • Fax:
Mailing address:
  • Phone: 318-606-5262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number12375
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: