MEDICARE: THE CHIRO PLACE OF BATON ROUGH INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1285567552
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE CHIRO PLACE OF BATON ROUGH INC

Provider Business Mailing Address
First Line	:	8841 LYNDANNE DR
Second Line	:
City	:	DENHAM SPRINGS
State	:	LA
Zip	:	70726-5664
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8841 LYNDANNE DR
Second Line	:
City	:	DENHAM SPRINGS
State	:	LA
Zip	:	70726-5664
Country	:	US
Telephone Number	:	985-517-4417
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	LABENTRIA FORD
Credential	:
Telephone Number	:	985-517-4417

Provider Enumeration Date	:	06/05/2026
Last Update Date	:	06/05/2026

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