| NPI | 1649910803 |
|---|---|
| Doing Business As | THE BACKSPACE |
| Entity Type | Organization |
| Authorized Contact | BAILEE BOYETT Credentialing Specialtist 815-573-7145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2022-03-29 |