| Back On Track | |
|
409 Meramec Blvd, Eureka, MO 63025-3906 | |
| (636) 742-3733 | |
| Not Available |
| Full Name | Back On Track |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 409 Meramec Blvd, Eureka, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417747783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Ashley Lauren Lane-brunjes |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1043484942 PECOS PAC ID: 8224103056 Enrollment ID: I20080813000734 |
| Provider Name | Allie Rose Wiseman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1316813801 PECOS PAC ID: 4284113671 Enrollment ID: I20260205003287 |
| Mailing Address | Practice Location Address |
|---|---|
| Back On Track 1501 Highway T, Labadie, MO 63055-1301 Ph: (636) 744-5175 | Back On Track 409 Meramec Blvd, Eureka, MO 63025-3906 Ph: (636) 742-3733 |
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