# BACK 2 LIFE CHIROPRACTIC LLC

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

## Provider details

- **NPI number:** 1578080867
- **Authorized official:** DR. DANNY MAX HARGROVE D.C. (OWNER/CHIROPRACTOR)
- **Authorized official phone:** (508) 792-2990

## Contact information

- **Practice address:** 679 PLEASANT ST, PAXTON, MA 01612-1380
- **Practice address phone:** (508) 792-2990
- **Practice address fax:** (508) 792-2996
- **Mailing address:** 679 PLEASANT ST, PAXTON, MA 01612-1380
- **Mailing address phone:** (508) 792-2990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | 2295 | MA | Yes |

## Other

- **Enumeration date:** 08/28/2017
- **Last updated:** 07/21/2022
