Healthcare Provider Details

I. General information

NPI: 1639073950
Provider Name (Legal Business Name): BACK TO HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2470 PATTERSON RD STE 3
GRAND JUNCTION CO
81505-1028
US

IV. Provider business mailing address

2470 PATTERSON RD STE 3
GRAND JUNCTION CO
81505-1028
US

V. Phone/Fax

Practice location:
  • Phone: 970-257-9199
  • Fax: 888-552-0135
Mailing address:
  • Phone: 970-257-9199
  • Fax: 888-552-0135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. DANIEL LONQUIST
Title or Position: OWNER
Credential: DC
Phone: 970-257-9199