# BACK 2 ACTION PHYSICAL THERAPY, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184062531
- **Authorized official:** MR. JODY HENSON (PRESIDENT)
- **Authorized official phone:** (724) 483-2159

## Contact information

- **Practice address:** 14302 BARTON BLVD SW, SUITE 200, CUMBERLAND, MD 21502-5825
- **Practice address phone:** (724) 483-2159
- **Practice address fax:** (724) 489-4758
- **Mailing address:** 625 LINCOLN AVE, SUITE 107, N CHARLEROI, PA 15022-2451
- **Mailing address phone:** (724) 483-2159
- **Mailing address fax:** (724) 489-4758

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | — | NULL | Yes |
| 111NR0400X | Rehabilitation Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 06/07/2013
- **Last updated:** 06/07/2013