NPI | 1114416484 |
---|---|
Doing Business As | STONEWATER ACUPUNCTURE & CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | JESSICA ROSE GRADEL Owner/ Sole Member 812-590-1584 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08002964A) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: IN 84000197A) |
Enumeration Date | 2018-05-02 |
Last Update Date | 2019-06-11 |