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Chad J Backus, PT, DPT

Physical Therapist in Winnemucca, NV. Individual provider (NPI-1).

NPI number1962409581
StatusActive
Last updated in NPPESSep 13, 2024

Details

NPI
1962409581
Entity type
Individual (NPI-1)
Name
Chad J Backus
Credential
PT, DPT
Sex
Male
Sole proprietor
No
Enumeration date
Jun 29, 2005
Certification date
Sep 13, 2024
Last updated
Sep 13, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist1599NVYes

Practice location

1973 Whitworth Way
Winnemucca, NV 89445-2948

Phone 775-625-2423 · Fax 775-625-2423

Mailing address

2826 Stuart St
Winnemucca, NV 89445-6156

Phone 775-625-2423 · Fax 775-625-2423

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