Organization
BACK IN ACTION INC
Active
Other names
Back in Action Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTAL KAY NELSON PT (OWNER)
(919) 557-3100
Entity
Organization
Contact information
Practice address
100 FITNESS DR, FUQUAY VARINA, NC 27526-7263
(919) 557-3100
(919) 557-3177
Mailing address
PO BOX 1492, FUQUAY VARINA, NC 27526-1492
(919) 557-3100
(919) 557-3177
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7450
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014Y2
BCBS
NC
Enumeration date
05/08/2006
Last updated
01/07/2020
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