Provider Demographics
NPI:1871931345
Name:RIPPETOE, ERIC MICHAEL (DPT)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:MICHAEL
Last Name:RIPPETOE
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
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Mailing Address - Street 1:9735 AIELLO LN
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71106-7440
Mailing Address - Country:US
Mailing Address - Phone:318-560-5726
Mailing Address - Fax:
Practice Address - Street 1:717 CROCKETT ST STE 205
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71101-3605
Practice Address - Country:US
Practice Address - Phone:318-333-1331
Practice Address - Fax:318-625-0704
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-06
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA09574R2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic