OrganizationActive
Spine Clinic of Baton Rouge
NPI 1477689305 · Rehabilitation Practitioner · Baton Rouge, LA
Provider details
- NPI number
- 1477689305
- Entity type
- Organization
- Primary specialty
- Rehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- George Ivanicky, Owner(225) 766-5050
- License
- 024904 (LA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
5211 Essen Ln
Suite 1
Baton Rouge, LA 70809-3564
Phone: (225) 766-5050
Fax: (225) 766-2052
Approximate (ZIP-level) locationGet directions
Mailing address
5211 Essen Ln
Baton Rouge, LA 70809-3564
Registry dates
- Enumerated
- 2007-02-26
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.