NPI 1477563963 · live from the CMS NPI Registry
Back To Health Chiropractic
Chiropractor in Las Vegas, NV. National Provider Identifier 1477563963, active.
NPI record
| NPI | 1477563963 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 4660 S Eastern Ave, Suite 202, Las Vegas, NV 89119 |
| Practice phone | 702-598-0500 |
| Mailing address | 1275 Ardia St, Henderson, NV 89012 |
| Enumerated | August 8, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | Luis Valera, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | B01178 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.