| NPI | 1033554894 |
|---|---|
| Doing Business As | BACK BAY HEALTH AND PERFORMANCE |
| Doing Business As | MASS WELLNESS |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY RICHARD LATHAM Owner 724-554-2795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133V00000X Dietitian, Registered | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2020-08-08 |