NPI 1366549586 · live from the CMS NPI Registry
Back To Health, LLC
Chiropractor in Decatur, IN. National Provider Identifier 1366549586, active.
NPI record
| NPI | 1366549586 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 1015 S 11th St, Decatur, IN 46733 |
| Practice phone | 260-728-4194 |
| Mailing address | 10963 Van Wert Decatur Rd, Van Wert, OH 45891 |
| Enumerated | September 20, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | Shad Foster, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | 8002146A (IN) |
| Chiropractor primary | 111N00000X | 08002260A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.