Provider Demographics
NPI:1538310651
Name:BACK IN MOTION, P.S.
Entity Type:Organization
Organization Name:BACK IN MOTION, P.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CAMERON
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:WEISHAAR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:509-443-3535
Mailing Address - Street 1:1717 W FRANCIS AVE
Mailing Address - Street 2:STE 202
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99205-6858
Mailing Address - Country:US
Mailing Address - Phone:509-443-3535
Mailing Address - Fax:509-413-2804
Practice Address - Street 1:1717 W FRANCIS AVE
Practice Address - Street 2:STE 202
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99205-6858
Practice Address - Country:US
Practice Address - Phone:509-443-3535
Practice Address - Fax:509-413-2804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-07
Last Update Date:2014-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034401111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty