| Organization Name: | BACK IN ACTION PHYSICAL THERAPY AND FITNESS CENTER,LLC |
| NPI Number: | 1083882450 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LYNNETTE K LATCHFORD (OWNER) |
| Mailing Address: | Building Ii, Route 220 Tipton Medical & Diagnostic Center Tipton |
| State: | PA US |
| Postal Code: | 16684 |
| Phone Number: | 8146840702 |
| Fax Number: | 8146840426 |
| NPI Enumeration Date: | 02/19/2008 |
| NPI Last Update Date: | 03/19/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT015991L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| 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 |