| NPI | 1033167432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE L KIRGIS Owner 260-244-3665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08001982A) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IN 08001923A) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2020-08-22 |