| NPI | 1346847993 |
|---|---|
| Doing Business As | THE-BACK.SPACE |
| Entity Type | Organization |
| Authorized Contact | BEAU E CASEY General Manager 484-818-3373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NI0900X Chiropractor, Internist |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-11-03 |