BATES CHIROPRACTIC & SPORTS THERAPY, LLC (NPI# 1205255999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205255999 |
| Entity Type | Organization |
| Organization Name | BATES CHIROPRACTIC & SPORTS THERAPY, LLC |
| Practice Address |
7591 Fern Ave 1502 Shreveport LA 71105-5750 |
| Mailing Address |
7591 Fern Avenue 1502 Shreveport LA 71105 |
| Practice Telephone | 3182208753 |
| Mailing Telephone | 3182208753 |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2014-04-10 |
| Authorized Official Name | DR. RYAN LEE BATES (MANAGER/DOCTOR) |
| Authorized Official Telephone | 3182208753 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1624 | LA | Chiropractic Providers |
| Street Address |
7591 FERN AVE 1502 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-5750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407851744 | Premier Marketing Associates Ltd Partnership | Durable Medical Equipment & Medical Supplies | 7591 Fern Ave, Ste. 1301, Shreveport, LA 71105-5750 | 2005-06-14 |
| 1528400959 | Megan L Colvin | Physician Assistant | 7591 Fern Ave, Suite 1705, Shreveport, LA 71105-5750 | 2013-07-26 |
| 1316230394 | Menopause & Hormone Specialty Center, LLC | Nurse Practitioner | 7591 Fern Ave, Suite #1501, Shreveport, LA 71105-5750 | 2011-05-24 |
| 1942457940 | Elite Health Solutions LLC | Clinic/Center | 7591 Fern Ave, Ste. 1602, Shreveport, LA 71105-5750 | 2008-08-20 |
| 1942245600 | Tammi Herkey | Nurse Practitioner | 7591 Fern Ave, Suite 1501, Shreveport, LA 71105-5750 | 2006-06-18 |
| 1447242482 | Ark-la-tex Home Health Inc. | Home Health | 7591 Fern Ave, Ste 1503, Shreveport, LA 71105-5748 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1205301868 | Tatjhana Maury | Case Manager/Care Coordinator | 3325 Youree Drive, Shreveport, LA 71105 | 2018-10-10 |
| 1245710920 | Jefferey Douglas Adair Md | Non-Pharmacy Dispensing Site | 8860 Fern Ave., Suite 120, Shreveport, LA 71105 | 2018-08-21 |
| 1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
| 1881195675 | Adiba Bibi | Pharmacist | 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 | 2018-02-27 |
| 1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
| 1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
| 1710497615 | Jimmy Carroll | Counselor | 2960 Knight St, Suite 110, Shreveport, LA 71105 | 2017-10-05 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619496452 | Shaqwana Hodge | Counselor | 2920 Knight St. Suite 110, Shreveport, LA 71105 | 2017-09-13 |
| Find all providers in zip 71105 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124596929 | Rachael Ann Durst | Chiropractor | 1520 N Hearne Ave Ste 103, Shreveport, LA 71107-7155 | 2018-11-09 |
| 1952760423 | Dempsey R. Zahn | Chiropractor | 1005 Southland Park Dr, Shreveport, LA 71118-3218 | 2016-02-12 |
| 1164852927 | Diamond Brown | Chiropractor | 1950 E 70th St Ste Cd, Shreveport, LA 71105-5345 | 2013-11-14 |
| 1932456407 | Kimberly L Griggs | Chiropractor | 8575 Fern Ave Ste 101, Shreveport, LA 71105-5677 | 2012-08-14 |
| 1790067593 | Ryan Lee Bates | Chiropractor | 7591 Fern Ave Ste 1502, Shreveport, LA 71105-5748 | 2011-09-16 |
| 1396047981 | Mayfield-bacon Auto & Accident Clinic | Chiropractor | 820 Jordan St Ste 110, Shreveport, LA 71101-4519 | 2010-12-02 |
| 1649456278 | Jason L Maggio | Chiropractor | 8575 Fern Ave, Suite 101, Shreveport, LA 71105-5676 | 2008-01-14 |
| 1992912380 | Eastgate Chiropractic Clinic, Inc | Chiropractor | 1520 N Hearne Ave, Suite 103, Shreveport, LA 71107-7155 | 2007-05-17 |
| 1669687273 | Timothy Robert Levin | Chiropractor | 7700 Jewella Ave, Suite 114, Shreveport, LA 71108-5050 | 2007-05-14 |
| 1629290713 | Michael W Taylor | Chiropractor | 1850 Nelson St, Suite D, Shreveport, LA 71107 | 2007-05-02 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71105 |
Please comment or provide details below to improve the information on BATES CHIROPRACTIC & SPORTS THERAPY, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.