| NPI | 1124314109 |
|---|---|
| Doing Business As | PERFORMANCE WELLNESS |
| Entity Type | Organization |
| Authorized Contact | JACOB ROBERTS Owner 317-924-5250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2011-06-28 |