Provider Demographics
NPI:1992339394
Name:BACK IN MOTION CHIROPRACTIC LLC
Entity type:Organization
Organization Name:BACK IN MOTION CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PRATIK
Authorized Official - Middle Name:
Authorized Official - Last Name:SONI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:817-881-1551
Mailing Address - Street 1:2501 E HEBRON PKWY STE 150
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-4402
Mailing Address - Country:US
Mailing Address - Phone:817-881-1551
Mailing Address - Fax:
Practice Address - Street 1:2501 E HEBRON PKWY STE 150
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-4402
Practice Address - Country:US
Practice Address - Phone:817-881-1551
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-25
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service