Back to Health Wellness Center, P.c,

NPI #1922245836 in La Porte, Indiana

Provider Information

NPI Number: 1922245836
Entity Type: Organization
Organization Name: Back to Health Wellness Center, P.c,
Primary Specialty: Chiropractor
Enumeration Date: Jan 14, 2009
Last Updated: Jan 14, 2009

Practice Location

Address: 2504 MONROE ST
City: La Porte
State: Indiana
ZIP Code: 46350-5241
Phone: (219) 326-5100

Authorized Official

Name: DR. MATTHEW C KIRKHAM, D.C.
Title: PRESIDENT
Phone: (219) 326-5100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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