Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Backtogolf Performance & Fitness Inc

Organization Physical Therapist · NPI 1669571188

Backtogolf Performance & Fitness Inc provides Physical Therapist services in Santa Rosa, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

208 Concourse Blvd
Santa Rosa, CA 95403
Phone: (707) 303-4992
Fax: (707) 303-4996
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT11380 (CA)

Record details

NPI number1669571188
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Mullnix — Practice Administrator · (707) 303-4995
NPI enumeratedSeptember 21, 2006
Last updated in NPPESApril 14, 2020
Certification dateApril 14, 2020
Mailing addressPo Box 10, Suite 2, Windsor, CA 95492

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