| NPI | 1194357293 |
|---|---|
| Doing Business As | BACK IN MOTION INTEGRATED MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL ALAN GANSCHOW Owner 817-764-2291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2020-06-03 |