| NPI | 1003115957 |
|---|---|
| Doing Business As | HEALTH1ST |
| Entity Type | Organization |
| Authorized Contact | TERRY J TOLLE Owner/President 317-683-1971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2011-03-31 |