Organization
BACK TO BASICS CHIROPRACTIC AND SPORTS REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN IMHOFF D.C. (OWNER)
(386) 871-1174
Entity
Organization
Contact information
Practice address
800 STERTHAUS DR, SUITE A, ORMOND BEACH, FL 32174-5132
(386) 310-4884
(386) 872-7647
Mailing address
800 STERTHAUS DR, SUITE A, ORMOND BEACH, FL 32174-5132
(386) 310-4884
(386) 872-7647
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9482
FL
Other
Enumeration date
08/19/2014
Last updated
02/19/2019
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