Back To Wellness Llc

NPI 1053544080 - Chiropractor - 111N00000X

NPI Details
NPI 1053544080
Enumeration Date 08/25/2009
Last Updated 08/25/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name JEAN ELIZABETH JEAN
Position PRESIDENT
Phone (508) 679-8808
Fax (508) 679-6199
Practice Location
637 STATE RD
WESTPORT MA, 02790-2819, US
Phone (508) 679-8808
Fax (508) 679-6199
Business Location
637 STATE RD
WESTPORT MA, 02790-2819, US
Phone (508) 679-8808
Fax (508) 679-6199
Toxanomy
Taxonomy Code 111N00000X
License State Massachusetts
License Number 739
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According to our database, Back To Wellness Llc NPI is 1053544080, taxonomy code is 111N00000X and license number is 739, license state is located at Massachusetts. Back To Wellness Llc physically located at 637 State Rd, Westport MA, 02790-2819. NPI Number 1033115704 has the healthcare provider type.

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1053544080 NPI number is provided on an as is basis without warranty of any kind. 1053544080 is maintained by the National Plan & Provider Enumeration System. The contents of Back To Wellness Llc are for informational purposes only.