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NPI Code Detail

MEDICARE: BACK IN MOTION CHIROPRACTIC & REHAB, LLC

MEDICARE: BACK IN MOTION CHIROPRACTIC & REHAB, 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
1111N00000XChiropractor3447OH

General Provider Information

NPI Number : 1134310766
Entity Type Code : Organization
Provider Name (Legal Business Name) : BACK IN MOTION CHIROPRACTIC & REHAB, LLC
Provider Business Mailing Address
First Line : 1239 MOUNT VERNON AVE # B
Second Line :
City : MARION
State : OH
Zip : 43302-5624
Country : US
Telephone Number : 740-725-8200
Fax Number : 740-725-9020
Provider Business Practice Location Address
First Line : 1239 MOUNT VERNON AVE # B
Second Line :
City : MARION
State : OH
Zip : 43302-5624
Country : US
Telephone Number : 740-725-8200
Fax Number : 740-725-9020
Authorized Official
Title or Position : OWNER
Name : DR. DENNIS J. PUSKARICH
Credential : D.C.
Telephone Number : 740-725-8200
Provider Enumeration Date : 08/08/2007
Last Update Date : 08/08/2007

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Directions to “BACK IN MOTION CHIROPRACTIC & REHAB, LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.