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NPI Code Detail

MEDICARE: BACK IN MOTION CHIROPRACTIC LLC

MEDICARE: BACK IN MOTION CHIROPRACTIC 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
1111N00000XChiropractor6280CO

General Provider Information

NPI Number : 1801040654
Entity Type Code : Organization
Provider Name (Legal Business Name) : BACK IN MOTION CHIROPRACTIC LLC
Provider Business Mailing Address
First Line : 15132 E HAMPDEN AVE.
Second Line : SUITE C
City : AURORA
State : CO
Zip : 80014-5038
Country : US
Telephone Number : 303-627-7225
Fax Number : 303-627-7355
Provider Business Practice Location Address
First Line : 15132 E HAMPDEN AVE.
Second Line : SUITE C
City : AURORA
State : CO
Zip : 80014-5038
Country : US
Telephone Number : 303-627-7225
Fax Number : 303-627-7355
Authorized Official
Title or Position : OWNER
Name : DR. JOSEPH F. TARANTO
Credential : D.C.
Telephone Number : 303-627-7225
Provider Enumeration Date : 11/06/2008
Last Update Date : 03/04/2009

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Directions to “BACK IN MOTION CHIROPRACTIC LLC ” Practice Location

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