MEDICARE: BACK IN STRIDE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1083567176
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BACK IN STRIDE LLC

Provider Business Mailing Address
First Line	:	2951 ALLISTER ST
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75229-2460
Country	:	US
Telephone Number	:	928-444-7437
Fax Number	:

Provider Business Practice Location Address
First Line	:	1445 MAC ARTHUR DR STE 264
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75007-6459
Country	:	US
Telephone Number	:	469-326-9844
Fax Number	:

Authorized Official
Title or Position	:	ASSOCIATE
Name	:	CHRISTOPHER CUMMINGS
Credential	:	DC
Telephone Number	:	928-444-7437

Provider Enumeration Date	:	02/18/2026
Last Update Date	:	02/18/2026

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Directions to “BACK IN STRIDE LLC ” Practice Location

Language	Start Address	Practice Location

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