Back to Health LTD
Organization Active NPI Chiropractor · Richfield, MN
NPI 1477757409 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1477757409
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 4186 (MN)
- Legal business name
- BACK TO HEALTH LTD
- Practice address
- 6944 Nicollet Ave
Richfield, MN 55423-2407 - Phone
- (612) 861-8854
- Fax
- (612) 861-8816
- NPI assigned
- Jun 13, 2007
- Organization subpart
- No
Authorized official
- Name
- Scott Koltes, DC
- Title
- Owner
- Phone
- (612) 861-8854
Practitioners 1
-
Scott Koltes, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100429000763 | MN | Part B Supplier - Clinic/Group Practice | 9739216359 |
Receives reassigned benefits from 1 practitioner Practice locations: Richfield, MN |
National Provider Directory
Locations
6944 Nicollet Ave
Richfield, MN 55423
Phone (612) 861-8854
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 4186 | MN | Yes |
Addresses
Primary practice location
6944 Nicollet Ave
Richfield, MN 55423-2407
Mailing address
6944 Nicollet Ave
Richfield, MN 55423-2407
Phone (612) 861-8854
Other names
- Back to Health Chiropractic
Other providers in Richfield, MN
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.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.