| NPI | 1598339905 |
|---|---|
| Doing Business As | THE ROAD BACK TO WELLNESS |
| Entity Type | Organization |
| Authorized Contact | DEREK GARN RODEBACK Sole Mbr 435-414-9858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2021-10-14 |