Provider Demographics
NPI:1114628880
Name:BACK TO HEALTH
Entity Type:Organization
Organization Name:BACK TO HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LELAND
Authorized Official - Middle Name:
Authorized Official - Last Name:NORTHCUTT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:931-473-2345
Mailing Address - Street 1:1012 S CHANCERY ST
Mailing Address - Street 2:
Mailing Address - City:MCMINNVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37110-3701
Mailing Address - Country:US
Mailing Address - Phone:931-473-2345
Mailing Address - Fax:931-473-4254
Practice Address - Street 1:1012 S CHANCERY ST
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:TN
Practice Address - Zip Code:37110-3701
Practice Address - Country:US
Practice Address - Phone:931-473-2345
Practice Address - Fax:931-473-4254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-10
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty