| NPI | 1487533089 |
|---|---|
| Former Name | JERRILYN BACKMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-006873) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: IL 227-007524) |
| Enumeration Date | 2025-08-28 |
| Last Update Date | 2025-08-28 |