# BACK AT EM CHIROPRACTIC, PLCC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BACK FOR GOOD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568096303
- **Authorized official:** MRS. KATHERINE STOUT (ADMINISTRATOR)
- **Authorized official phone:** (435) 260-9219

## Contact information

- **Practice address:** 4894 N JEFFERSON ST, PULASKI, NY 13142-4124
- **Practice address phone:** (315) 297-0376
- **Mailing address:** 4894 N JEFFERSON ST, PULASKI, NY 13142-4124
- **Mailing address phone:** (315) 297-0376

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 03/02/2020
- **Last updated:** 03/19/2020