| NPI | 1134247737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACI COUNTERMAN Insurance Billing 260-489-8911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08000981) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |