| NPI | 1154739183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J KENT HEAVIN President/Owner/Chiropractor 317-757-5016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08000760A) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2015-06-09 |