A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Chiropractor |
111N00000X | 35 | Chiropractic | |
Dietitian, Registered |
133V00000X | 71 | Registered Dietitian or Nutrition Professional | |
Nutritionist |
133N00000X | |||
Physical Therapist |
225100000X | 65 | Physical Therapist in Private Practice |
| NPI # | 1033554894 |
| LBN Legal business name | BACK BAY HEALTH LLC |
| Authorized official | TIMOTHY LATHAM - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/07/2013 |
| Last updated | 08/08/2020 - About 6 years ago |
| Identifiers | n/a |
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BACK BAY HEALTH LLC
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