| NPI | 1255532800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY LADD Complex Manager 765-447-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08001812A) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IN 0800547) |
| 171100000X Acupuncturist (Licence: IN 84000029A) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2023-12-11 |