Healthcare Provider Details

I. General information

NPI: 1841127628
Provider Name (Legal Business Name): BACKCOUNTRY CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 W MAIN ST STE 202
FRISCO CO
80443-5966
US

IV. Provider business mailing address

PO BOX 8851
AVON CO
81620-8829
US

V. Phone/Fax

Practice location:
  • Phone: 970-368-2764
  • Fax:
Mailing address:
  • Phone: 970-368-2764
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. ALEXANDRA ALISE PAUL
Title or Position: CHIROPRACTOR, OWNER
Credential: DC
Phone: 908-566-6336