| NPI | 1205375243 |
|---|---|
| Doing Business As | NORTHERN SPINE AND REHAB |
| Entity Type | Organization |
| Authorized Contact | ADAM COATES Owner 317-771-7808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 4656) |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2017-02-22 |