| Doctor Name: | LAURA ELISE BARES |
| NPI Number: | 1245678432 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MPT, CLT |
| License Number: | PT04527R |
| Business Practice Address: | 1500 Line Ave Suite 104 Shreveport, LA - 711014639 |
| Business Phone Number: | 3182133810 |
| Business Fax Number: | |
| Mailing Address: | 202 Chennault Ave, BARKSDALE AFB |
| State: | LA |
| Postal Code: | 711102038 |
| Phone Number: | 7039737725 |
| Fax Number: | |
| NPI Enumeration Date: | 06/10/2013 |
| NPI Last Update Date: | 06/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT04527R |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |