| NPI | 1043677586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANNER WEDDING Owner 812-777-4004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 08002878A) |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2022-02-17 |