| NPI | 1295914927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED MICHAEL BROSMER President 812-634-1977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08001991A) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2008-04-11 |