Back to Health Chiropractic
Organization Active NPI Chiropractor · Las Vegas, NV
NPI 1477563963 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1477563963
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- B01178 (NV)
- Legal business name
- BACK TO HEALTH CHIROPRACTIC
- Practice address
- 4660 S Eastern Ave
Suite 202
Las Vegas, NV 89119-6137 - Phone
- (702) 598-0500
- Fax
- (702) 433-0029
- NPI assigned
- Aug 8, 2006
- Organization subpart
- No
Authorized official
- Name
- Luis F Valera, D.C.
- Title
- Owner
- Phone
- (702) 598-0500
Practitioners 1
-
Lon S Titen, D.C.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | B01178 | NV | Yes |
Addresses
Primary practice location
4660 S Eastern Ave
Suite 202
Las Vegas, NV 89119-6137
Mailing address
1275 Ardia St
Henderson, NV 89012-4823
Phone (702) 566-6462
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.