Healthcare Provider Details

I. General information

NPI: 1215842125
Provider Name (Legal Business Name): TAKING BACK HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11274 S FORTUNA RD STE I4
YUMA AZ
85367-7849
US

IV. Provider business mailing address

11274 S FORTUNA RD STE I4
YUMA AZ
85367-7849
US

V. Phone/Fax

Practice location:
  • Phone: 928-287-5710
  • Fax:
Mailing address:
  • Phone: 928-287-5710
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: KAREN BARCKLAY
Title or Position: PHYSICIAN
Credential: BARCKLAY
Phone: 928-287-5710