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 |