| NPI | 1215969068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE RILEY Office Manager 317-889-8998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08001919A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 50004235A) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2019-09-25 |