Back Pain Solutions Clinic INC

NPI #1891460754 in Hayden, Idaho

Provider Information

NPI Number: 1891460754
Entity Type: Organization
Organization Name: Back Pain Solutions Clinic INC
Primary Specialty: Physical Therapist
Enumeration Date: Aug 12, 2021
Last Updated: Aug 18, 2021

Practice Location

Address: 827 W PRAIRIE AVE
City: Hayden
State: Idaho
ZIP Code: 83835-8459
Phone: (208) 660-9378

Authorized Official

Name: CHRISTOPHER BOWMAN
Title: VICE PRESIDENT
Phone: (280) 967-5608

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X
Contractor	171W00000X
Physical Therapist	225100000X	Primary

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