| NPI | 1144454398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY R RALSTON Owner 317-848-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: IN 08001899A) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IN 08001899A) |
| Enumeration Date | 2009-05-03 |
| Last Update Date | 2009-05-03 |