Individual
COLTON BACKHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, CSCS
Contact information
Practice address
1407 5TH AVE STE 200, BELLE FOURCHE, SD 57717-2052
(701) 426-4579
Mailing address
1407 5TH AVE STE 200, BELLE FOURCHE, SD 57717-2052
(701) 426-4579
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
1453
SD
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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