TUCKER NECK AND BACK LLC NPI 1134355779

NPI Information

  • NPI: 1134355779
  • Provider Name: TUCKER NECK AND BACK, LLC
  • Classification: Chiropractor - 111NR0400X
  • Specialization: Rehabilitation
  • Entity Type: Organization
  • Address: 4880 LAWRENCEVILLE HWY
    SUITE 13
    TUCKER, GA
    ZIP 30084
  • Phone: (770) 621-5585

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NPI Details

TUCKER NECK AND BACK, LLC is a rehabilitation chiropractor in Tucker, GA. The provider is rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills. TUCKER NECK AND BACK, LLC NPI is 1134355779. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4880 LAWRENCEVILLE HWY
SUITE 13
TUCKER, GA
ZIP 30084-938
Phone: (770) 621-5585
Fax: (770) 414-7355

The provider's authorized official is Tony L Banguilan .
The authorized official title is Ceo and has the following contact phone number (770) 621-5585.

The enumeration date for this NPI number is 6/10/2009 and was last updated on 6/10/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111NR0400XChiropractorRehabilitationCHIR0006452GEORGIAYes

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: 11/21/2025

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