Organization
BACK AT EM CHIROPRACTIC, PLCC
Active
Other names
BACK FOR GOOD
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHERINE STOUT (ADMINISTRATOR)
(435) 260-9219
Entity
Organization
Contact information
Practice address
4894 N JEFFERSON ST, PULASKI, NY 13142-4124
(315) 297-0376
Mailing address
4894 N JEFFERSON ST, PULASKI, NY 13142-4124
(315) 297-0376
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
03/02/2020
Last updated
03/19/2020
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