| NPI | 1164647418 |
|---|---|
| Doing Business As | BACK IN SHAPE |
| Entity Type | Organization |
| Authorized Contact | PATRICIA E SANDERS President 808-879-5591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: HI 561) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |