| NPI | 1093537854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW KAMMERER Part Owner 317-224-7242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 111N00000X Chiropractor |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2024-10-31 |
| Last Update Date | 2024-10-31 |