| NPI | 1083898514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ANN BRAUCHLA Chiropractor 765-642-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08002193A) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI 2301008788) |
| 111N00000X Chiropractor (Licence: IN 08002181a) | |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2016-10-05 |