NPI | 1326755463 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTINE MARIE MAYES General Manager 317-331-0510 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Additional Taxonomies | 225100000X Physical Therapist |
2251S0007X Physical Therapist, Sports | |
2251X0800X Physical Therapist, Orthopedic | |
2255A2300X Specialist/Technologist, Athletic Trainer | |
225700000X Massage Therapist | |
261Q00000X Clinic/Center | |
261QM1300X Clinic/Center, Multi-Specialty | |
261QP2000X Clinic/Center, Physical Therapy | |
261QR0400X Clinic/Center, Rehabilitation | |
Enumeration Date | 2022-10-28 |
Last Update Date | 2022-10-28 |