Healthcare Provider Details

I. General information

NPI: 1427972728
Provider Name (Legal Business Name): LAUREN ANNE BAINTER DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 SAMFORD AVE
SHREVEPORT LA
71103-4239
US

IV. Provider business mailing address

5400 BARKSDALE BLVD APT 1533
BOSSIER CITY LA
71112-4856
US

V. Phone/Fax

Practice location:
  • Phone: 855-972-4331
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number12485
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: