BACK TO LIFE LLC
NPI 1063063014
Clinic/Center - Rehabilitation in Malvern, IA

Q: What is Back To Life LLC's NPI number?

The NPI number for Back To Life LLC is 1063063014. It was assigned to this organization in the NPPES registry on September 21, 2019.

Q: What is Back To Life LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

Q: When was this NPI record last updated?

The NPPES record for Back To Life LLC was last updated on September 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 21, 2019

305 E 1ST ST, MALVERN, IA 51551(402) 201-7852 Get Directions Write a Review

NPPES record last updated: September 21, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Back To Life Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BACK TO LIFE LLC (NPI 1063063014) is a healthcare organization registered as a rehabilitation in Malvern, Iowa and active in the NPI registry since September 2019. The organization lists Amberly Wiese, Owner, as its authorized official.

NPPES Registry Identity

NPI1063063014

Entity TypeOrganization

Primary Taxonomy261QR0400X

Legal Business NameBACK TO LIFE LLC

Location Address305 E 1ST STMalvern, IA 51551-8008

Mailing AddressPo Box 178Malvern, IA 51551-0178 · (402) 201-7852

Phone(402) 201-7852

Organization SubpartNo

Authorized OfficialAmberly WieseOwner · (402) 201-7852

Enumeration DateSeptember 21, 2019

✔ NPI 1063063014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities

Taxonomy Code261QR0400X

Also ListedHome HealthTaxonomy 251E00000X

305 E 1ST ST, Malvern, IA 51551

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMBERLY WIESE OTR

Occupational Therapist

305 E 1ST ST
MALVERN, IA 51551

Mills County (402) 201-7852

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Back To Life LLC's NPI number?

The NPI number for Back To Life LLC is 1063063014. It was assigned to this organization in the NPPES registry on September 21, 2019.

Where is Back To Life LLC located?

Back To Life LLC is located at 305 E 1st St, Malvern, IA 51551. The listed phone number is (402) 201-7852.

What is Back To Life LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

When was this NPI record last updated?

The NPPES record for Back To Life LLC was last updated on September 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.