# COMPLETE BACK AND BODY CARE, INC.

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

## Provider details

- **NPI number:** 1295943967
- **Authorized official:** MRS. PATRICIA C. LASALATA (PRESIDENT)
- **Authorized official phone:** (770) 719-9166

## Contact information

- **Practice address:** 1260 HIGHWAY 85 N, FAYETTEVILLE, GA 30214-7315
- **Practice address phone:** (770) 719-9166
- **Practice address fax:** (770) 719-9136
- **Mailing address:** 1260 HIGHWAY 85 N, FAYETTEVILLE, GA 30214-7315
- **Mailing address phone:** (770) 719-9166
- **Mailing address fax:** (770) 719-9136

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | CHIRO07601 | GA | Yes |

## Other

- **Enumeration date:** 05/18/2007
- **Last updated:** 08/22/2020