Complete Back and Body Care, Inc.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

CHIRO07601 Issued in GA

Legal business name

COMPLETE BACK AND BODY CARE, INC.

Practice address

1260 Highway 85 N
Fayetteville, GA 30214-7315

Phone

(770) 719-9166

Fax

(770) 719-9136

NPI assigned

May 18, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Patricia C. Lasalata

Title

President

Phone

(770) 719-9166

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Curt Joseph Blabaum, DC

  • Chiropractor
  • Byron, GA
  • NPI 1043375512
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295943967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 HIGHWAY 85 N",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147315",
            "telephone_number": "770-719-9166",
            "fax_number": "770-719-9136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 HIGHWAY 85 N",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147315",
            "telephone_number": "770-719-9166",
            "fax_number": "770-719-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE BACK AND BODY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LASALATA",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-719-9166",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "GA",
            "license": "CHIRO07601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mackenzie Lynn Connor, HIS

• Rehabilitation Chiropractor in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Rehabilitation Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.