| NPI | 1922124528 |
|---|---|
| Doing Business As | BACK INTO LIFE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | JESSE MICHAEL TERNUS President 763-712-5986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2015-09-30 |