NPI | 1023344595 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT E CRAIG Owner/Provider 812-752-6202 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08001735A) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01056407A) |
225100000X Physical Therapist (Licence: IN 05005009A) | |
Enumeration Date | 2009-10-19 |
Last Update Date | 2012-04-09 |