Provider Demographics
NPI:1629558812
Name:BACK IN MOTION, INC.
Entity Type:Organization
Organization Name:BACK IN MOTION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:TOY
Authorized Official - Last Name:RAHAMAT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:423-790-1425
Mailing Address - Street 1:3771 GEORGETOWN RD. NW
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37312
Mailing Address - Country:US
Mailing Address - Phone:423-790-1425
Mailing Address - Fax:423-790-1426
Practice Address - Street 1:3771 GEORGETOWN RD. NW
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37312
Practice Address - Country:US
Practice Address - Phone:423-790-1425
Practice Address - Fax:423-790-1426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-16
Last Update Date:2018-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty