MEDICARE: BACK IN MOTION, P.S.

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	CH00034401	WA

General Provider Information

NPI Number	:	1538310651
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BACK IN MOTION, P.S.

Provider Business Mailing Address
First Line	:	1717 W FRANCIS AVE
Second Line	:	STE 202
City	:	SPOKANE
State	:	WA
Zip	:	99205-6858
Country	:	US
Telephone Number	:	509-443-3535
Fax Number	:	509-413-2804

Provider Business Practice Location Address
First Line	:	1717 W FRANCIS AVE
Second Line	:	STE 202
City	:	SPOKANE
State	:	WA
Zip	:	99205-6858
Country	:	US
Telephone Number	:	509-443-3535
Fax Number	:	509-413-2804

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CAMERON JAMES WEISHAAR
Credential	:	D.C.
Telephone Number	:	509-443-3535

Provider Enumeration Date	:	10/07/2008
Last Update Date	:	06/30/2014

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