| NPI | 1376876730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON WELSH President 317-852-2005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: IN 08002455A) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2009-09-16 |