Individual provider · NPI-1

Dr. Rebekah Gagnard Bruner, D.C.

Chiropractor · Baton Rouge, LA

NPI number1346657624
StatusActive
Last updated in NPPESNov 19, 2019

Details

NPI
1346657624
Entity type
Individual (NPI-1)
Name
Dr. Rebekah Gagnard Bruner
Credential
D.C.
Sex
Female
Sole proprietor
No
Enumeration date
Jul 17, 2014
Last updated
Nov 19, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor1844LAYes
111N00000X Chiropractor12692TX

Practice location

4700 Millwood Dr. #77559
Baton Rouge, LA 70879-7559

Phone 225-339-9911 · Fax 225-308-9225

Mailing address

4700 Millwood Dr. #77559
Baton Rouge, LA 70879-7559

Phone 225-339-9911 · Fax 225-308-9225

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