Provider Type Icon

BACK BAY HEALTH LLC NPI 1033554894


NPI Information

NPI: 1033554894
Provider Name: BACK BAY HEALTH LLC

Doing Business As: BACK BAY HEALTH AND PERFORMANCE

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
665 BOYLSTON ST # 3
BOSTON, MA
ZIP 02116
Phone: (724) 554-2795
Get Directions

BACK BAY HEALTH LLC is a chiropractor in Boston, MA. The provider is 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. BACK BAY HEALTH LLC NPI is 1033554894. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Back Bay Health And Performance.

The provider's business location address is:

665 BOYLSTON ST # 3
BOSTON, MA
ZIP 02116-824
Phone: (724) 554-2795
Fax: (857) 350-3251

The provider's authorized official is Timothy Richard Latham .
The authorized official title is Owner and has the following contact phone number (724) 554-2795.

The enumeration date for this NPI number is 5/7/2013 and was last updated on 8/8/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133N00000XNutritionistNo
2133V00000XDietitian, RegisteredNo
3225100000XPhysical TherapistNo
4111N00000XChiropractorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.