# BACK IN ACTION S.C.

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

## Provider details

- **NPI number:** 1952342388
- **Authorized official:** DR. ROBERT I CARPENTER D.C. (PRESIDENT/OWNER)
- **Authorized official phone:** (414) 529-4600

## Contact information

- **Practice address:** 10731 W FOREST HOME AVE, HALES CORNERS, WI 53130-2555
- **Practice address phone:** (414) 529-4600
- **Practice address fax:** (414) 529-4689
- **Mailing address:** 10731 W FOREST HOME AVE, HALES CORNERS, WI 53130-2555
- **Mailing address phone:** (414) 529-4600
- **Mailing address fax:** (414) 529-4689

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 1413-012 | WI | Yes |

## Other

- **Enumeration date:** 06/09/2006
- **Last updated:** 08/22/2020