Healthcare Provider Details

I. General information

NPI: 1740113661
Provider Name (Legal Business Name): BACK IN MOTION BATON ROUGE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8913 BLUEBONNET BLVD STE A
BATON ROUGE LA
70810-2974
US

IV. Provider business mailing address

8913 BLUEBONNET BLVD STE A
BATON ROUGE LA
70810-2974
US

V. Phone/Fax

Practice location:
  • Phone: 225-800-9201
  • Fax: 225-800-9201
Mailing address:
  • Phone: 225-800-9201
  • Fax: 225-800-9201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. JUSTIN L JUSTIN
Title or Position: OWNER
Credential: DC
Phone: 225-501-8050