BACK TO HEALTH CHIROPRACTIC, P.A. (NPI# 1427002534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427002534 |
| Entity Type | Organization |
| Organization Name | BACK TO HEALTH CHIROPRACTIC, P.A. |
| Practice Address |
324 Saint Joseph St Wathena KS 66090-1280 |
| Mailing Address |
Po Box 100 Wathena KS 66090-0100 |
| Practice Telephone | 7859894644 |
| Practice Fax Number | 7859894660 |
| Mailing Telephone | 7859894644 |
| Mailing Fax Number | 7859894660 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2010-07-26 |
| Authorized Official Name | DR. HEATHER ANN CLUCK (PRESIDENT) |
| Authorized Official Telephone | 7859894644 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | K01-04749 | KS | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | INDIVIDUAL MEDICARE PIN | 060911 | 01 |
| Street Address |
324 SAINT JOSEPH ST |
| City | WATHENA |
| State | KS |
| Zip Code | 66090-1280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255535266 | Heather A Cluck | Chiropractor | 324 Saint Joseph St, Wathena, KS 66090-1280 | 2007-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306234505 | Jennifer Olson | Occupational Therapist | 2112 Hihgway 36, Wathena, KS 66090 | 2014-12-23 |
| 1265659072 | Mary Ann Woodruff | Technician | 405 Fremont, Wathena, KS 66090 | 2007-04-20 |
| 1043313331 | William P. Feuerbacher | Chiropractor | 210 St. Joseph Street, Wathena, KS 66090 | 2006-09-05 |
| 1144255092 | Wathena Healthcare and Rehabilitation Center, LLC | Skilled Nursing Facility | 2112 Highway 36, Wathena, KS 66090 | 2006-07-11 |
| 1871990622 | Jordan Lee Bauman | Chiropractor | 210 E Saint Joseph St, Wathena, KS 66090-1268 | 2014-11-21 |
| 1780221812 | Bauman Chiropractic LLC | Chiropractor | 210 E Saint Joseph St, Wathena, KS 66090-1268 | 2019-12-09 |
| 1376931600 | Jennifer Sharp | Physical Therapy Assistant | 1852 210th Rd, Wathena, KS 66090-4065 | 2015-01-09 |
| 1528108370 | Ida Davis | Technician | 1094 Toulon Rd, Wathena, KS 66090-4078 | 2007-02-08 |
| 1841823473 | Willow | Assisted Living Facility | 2125 Highway 36, Wathena, KS 66090-4126 | 2020-02-21 |
| 1275008120 | Holley Thompson | Speech-Language Pathologist | 2112 Highway 36, Wathena, KS 66090-4126 | 2018-10-08 |
| Find all providers in zip 66090 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871990622 | Jordan Lee Bauman | Chiropractor | 210 E Saint Joseph St, Wathena, KS 66090-1268 | 2014-11-21 |
| 1043313331 | William P. Feuerbacher | Chiropractor | 210 St. Joseph Street, Wathena, KS 66090 | 2006-09-05 |
| 1780221812 | Bauman Chiropractic LLC | Chiropractor | 210 E Saint Joseph St, Wathena, KS 66090-1268 | 2019-12-09 |
| 1255535266 | Heather A Cluck | Chiropractor | 324 Saint Joseph St, Wathena, KS 66090-1280 | 2007-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689359 | Andrew L Todd | Chiropractor | 6800 W 91st St, Overland Park, KS 66212-1453 | 2020-11-02 |
| 1386251924 | Beckley Chiropractic, Inc. | Chiropractor | 2348 Sw Topeka Blvd Ste 202, Topeka, KS 66611-1286 | 2020-09-28 |
| 1073128583 | Jaccard Chiropractic, P.a. | Chiropractor | 4 South 1st Street, #c, Louisburg, KS 66053 | 2020-09-11 |
| 1336752591 | Johnathan Chase Carlin | Chiropractor | 10985 Cody St Ste 100, Overland Park, KS 66210-1219 | 2020-08-27 |
| 1104442193 | Breanna Kay Bezona | Chiropractor | 13830 Sante Fe Trail Dr., St. 104, Lenexa, KS 66215 | 2020-06-25 |
| 1568083129 | Chase Blaha | Chiropractor | 3230 Kimball Ave, Manhattan, KS 66503-2157 | 2020-05-05 |
| 1538780465 | Joshua Whitmore | Chiropractor | 12101 W 110th St Ste 200, Overland Park, KS 66210-3935 | 2020-05-01 |
| 1871127985 | Katie Marie Muller | Chiropractor | 9621 W 87th St, Overland Park, KS 66212-4570 | 2020-02-27 |
| 1265062848 | Kylan Cris Bennett | Chiropractor | 2605 Central Ave, Dodge City, KS 67801-6210 | 2020-01-22 |
| 1932748282 | Jessica Langel | Chiropractor | 7418 W 121st St, Overland Park, KS 66213-1203 | 2020-01-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.