| Organization Name: | BACK-2-LIFE PHYSICAL THERAPY, P.A. |
| NPI Number: | 1023154531 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ERIC K GROTEKE (OFFICER) |
| Mailing Address: | 2905 Rigsby Ln Safety Harbor |
| State: | FL US |
| Postal Code: | 346954828 |
| Phone Number: | 7277970500 |
| Fax Number: | 7277970050 |
| NPI Enumeration Date: | 01/30/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | U0235Z |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |