Provider Demographics
NPI:1750923355
Name:BACK TO HEALTH PLLC
Entity type:Organization
Organization Name:BACK TO HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:KEIRNAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-399-1798
Mailing Address - Street 1:4101 E LOUISIANA AVE STE 340
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-3449
Mailing Address - Country:US
Mailing Address - Phone:303-399-1798
Mailing Address - Fax:
Practice Address - Street 1:4101 E LOUISIANA AVE STE 340
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-3449
Practice Address - Country:US
Practice Address - Phone:303-399-1798
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-15
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty