Organization
BACK INTO HEALTH CHIROPRACTIC INC.
Active
Other names
Mind Body Spirit Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE CHARLES KUCHLER III DC (PRESIDENT)
(904) 220-6461
Entity
Organization
Contact information
Practice address
13121 ATLANTIC BLVD., SUITE 4, JACKSONVILLE, FL 32225-3125
(904) 220-6461
(904) 220-8953
Mailing address
13121 ATLANTIC BLVD., SUITE 4, JACKSONVILLE, FL 32225-3125
(904) 220-6461
(904) 220-8953
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH7959
FL
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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