| NPI | 1083200760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATESHA NEWTON Owner 317-820-7582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 111N00000X Chiropractor |
| 171100000X Acupuncturist | |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2020-12-16 |