# BACK TO BASICS CHIROPRACTIC

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

## Provider details

- **NPI number:** 1992290811
- **Authorized official:** DEIRDRE IMAGIRE (OWNER/MANAGER)
- **Authorized official phone:** (408) 809-1844

## Contact information

- **Practice address:** 16-590 OLD VOLCANO RD, KEAAU, HI 96749
- **Practice address phone:** (408) 809-1844
- **Mailing address:** 16-590 OLD VOLCANO RD, KEAAU, HI 96749-8158
- **Mailing address phone:** (408) 809-1844

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | DC-1332 | HI | Yes |

## Other

- **Enumeration date:** 06/22/2018
- **Last updated:** 07/23/2018
