Individual
CHAD J BACKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1973 WHITWORTH WAY, WINNEMUCCA, NV 89445-2948
(775) 625-2423
(775) 625-2423
Mailing address
2826 STUART ST, WINNEMUCCA, NV 89445-6156
(775) 625-2423
(775) 625-2423
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1599
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003407004
—
NV
Enumeration date
06/29/2005
Last updated
09/13/2024
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