Organization
BACK PAIN INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN KALLEBACH (OFFICE MANAGER)
(719) 475-8676
Entity
Organization
Contact information
Practice address
4675 CENTENNIAL BLVD, COLORADO SPRINGS, CO 80919
(719) 475-8676
Mailing address
PO BOX 49133, COLORADO SPRINGS, CO 80949
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
CO
Other
Enumeration date
02/02/2012
Last updated
02/02/2012
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