Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Spine Clinic of Baton Rouge

Organization Rehabilitation Practitioner · NPI 1477689305

Spine Clinic of Baton Rouge is a Rehabilitation Practitioner in Baton Rouge, Louisiana. Licensed in Louisiana. Registered with an NPI since 2007.

Licensed in
LA
In the registry since
2007

Practice location Address checks out

5211 Essen Ln Ste 1
Baton Rouge, LA 70809-3564
Phone: (225) 766-5050
Fax: (225) 766-2052
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X · Licence 024904 (LA)

Record details

NPI number1477689305
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Ivanicky — Owner · (225) 766-5050
NPI enumeratedFebruary 26, 2007
Last updated in NPPESAugust 22, 2020
Mailing address5211 Essen Ln, Suite 1, Baton Rouge, LA 70809-3564

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