| NPI | 1366659633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA MARIE IGNACIO President 812-425-5686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08002410A) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IN 08001689A) |
| 111N00000X Chiropractor (Licence: IN 08001671) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2024-08-13 |