Healthcare Provider Details

I. General information

NPI: 1285567552
Provider Name (Legal Business Name): THE CHIRO PLACE OF BATON ROUGH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8841 LYNDANNE DR
DENHAM SPRINGS LA
70726-5664
US

IV. Provider business mailing address

8841 LYNDANNE DR
DENHAM SPRINGS LA
70726-5664
US

V. Phone/Fax

Practice location:
  • Phone: 985-517-4417
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: LABENTRIA FORD
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 985-517-4417