Provider Demographics
NPI:1801040654
Name:BACK IN MOTION CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:BACK IN MOTION CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:F
Authorized Official - Last Name:TARANTO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-627-7225
Mailing Address - Street 1:15132 E HAMPDEN AVE.
Mailing Address - Street 2:SUITE C
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-5038
Mailing Address - Country:US
Mailing Address - Phone:303-627-7225
Mailing Address - Fax:303-627-7355
Practice Address - Street 1:15132 E HAMPDEN AVE.
Practice Address - Street 2:SUITE C
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-5038
Practice Address - Country:US
Practice Address - Phone:303-627-7225
Practice Address - Fax:303-627-7355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-06
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6280111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty