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Back In Motion Sports & Chiropractic Llc

Chiropractor

Chiropractic Providers

7895 Broadway Ste E, Merrillville, IN 46410-5529

PECOS Enrollment

Based on the most recent information from CMS, provider Back In Motion Sports & Chiropractic Llc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1831831734
Provider Type
Organization
Full Name
Back In Motion Sports & Chiropractic Llc

Subpart
No
Enumeration Date
4/11/2022
Last Updated
4/20/2022

Contact Information

Practice Location

7895 Broadway Ste E, Merrillville, IN 46410-5529

(219) 544-5665

(219) 209-5455

Mailing Location

PO Box 365, Hobart, IN 46342-0365

Unlisted Phone

Unlisted Fax

Authorized Official

Brown, Lakia Sharai (Chiropractor/Owner)

(219) 742-7139

Provider Taxonomies

Code	Description	License
Code 111N00000X Primary	Description Chiropractor Chiropractic Providers	License Unlisted Issuer

Back In Motion Sports & Chiropractic Llc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Powell, Lynn T

Vincent, Audrey A

Kauffman, Robert H

Russell, H. Princeton France

Hoeckelberg, Linda Ann

Fuller, Stacy

Broadway Plaza Pain Relief Center

Kauffman, Nicholas P

Kavalench, Sasha

Horvath, Sean A.