| NPI | 1184181331 |
|---|---|
| Former Legal Business Name | PRO PERFORMANCE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | DEREK SMITH President 317-993-3361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2019-02-25 |