Organization
BACKCOUNTRY SPINE AND SPORT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA FELDBAUER D.C. (CO-OWNER)
(814) 954-5095
Entity
Organization
Contact information
Practice address
140 MARY STREET, UNIT B, LEMONT, PA 16851
(814) 954-5095
Mailing address
P.O. BOX 181, LEMONT, PA 16851
(814) 954-5095
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
12/18/2019
Last updated
09/08/2021
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