| NPI | 1033640586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW BENNETT Chief Executive Officer 574-238-6199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08002949A) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2017-03-27 |