Organization
NATURAL PAIN BACK INSTITUTE, LLC
Active
Other names
C/E Med Back Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REGINALD LAMAR RODGES D.C. (CEO)
(662) 843-0076
Entity
Organization
Contact information
Practice address
3535 E NEW YORK ST, SUITE 216, AURORA, IL 60504-4465
(662) 843-0076
(662) 846-7730
Mailing address
506 3RD ST, CLEVELAND, MS 38732-2362
(662) 843-0076
(662) 846-7730
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
IL
208D00000X
General Practice Physician
Primary
—
—
225100000X
Physical Therapist
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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