| NPI | 1316475957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LUSHINSKY Owner 765-643-8781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08001691A) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2022-11-09 |