Individual provider · Type 1 NPI

Ryan Bourg, DC

Chiropractor · Shreveport, LA

NPI number 1629721741 Active

Practice location

1370 E 70th St
Shreveport, LA 71105-4924

Mailing address

4903 Laurel Ln
Bossier City, LA 71111-5407

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X1885 (LA)

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.

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About NPI 1629721741

Ryan Bourg, DC's National Provider Identifier is 1629721741, issued on Jan 28, 2022. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Shreveport, LA. The record was last updated on Dec 12, 2023.