Back In Action Health Center Pc

NPI 1003126657 - Chiropractor - 111N00000X

NPI Details
NPI 1003126657
Enumeration Date 10/18/2010
Last Updated 10/18/2010
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name JERRY LEE JERRY
Position OWNER
Phone (435) 688-7888
Fax (435) 652-1972
Practice Location
175 W 900 S
STE 6
ST. GEORGE UT, 84770-5269, US
Phone (435) 688-7888
Fax (435) 652-1972
Business Location
175 W 900 S
STE 6
ST. GEORGE UT, 84770-5269, US
Phone (435) 688-7888
Fax (435) 652-1972
Toxanomy
Taxonomy Code 111N00000X
License State Utah
License Number 352673-1202
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According to our database, Back In Action Health Center Pc NPI is 1003126657, taxonomy code is 111N00000X and license number is 352673-1202, license state is located at Utah. Back In Action Health Center Pc physically located at 175 W 900 S, St. George UT, 84770-5269. NPI Number 1033115704 has the healthcare provider type.

1003126657 NPI number is provided on an as is basis without warranty of any kind. 1003126657 is maintained by the National Plan & Provider Enumeration System. The contents of Back In Action Health Center Pc are for informational purposes only.