Back to Life Chiropractic L.l.c

NPI #1417301847 in Chesterton, Indiana

Provider Information

NPI Number: 1417301847
Entity Type: Organization
Organization Name: Back to Life Chiropractic L.l.c
Primary Specialty: Chiropractor
Enumeration Date: Apr 22, 2016
Last Updated: Sep 1, 2016

Practice Location

Address: 761 INDIAN BOUNDARY RD
Address 2: SUITE 4
City: Chesterton
State: Indiana
ZIP Code: 46304-1586
Phone: (219) 728-6649

Authorized Official

Name: JAMES P. GANO, D.C.
Title: OPERATOR/CHIROPRACTOR
Phone: (219) 728-6649

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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