| NPI | 1396304168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHETT E NELSON President/Sole Owner 574-533-2531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 111N00000X Chiropractor |
| 208100000X Physical Medicine & Rehabilitation | |
| 225100000X Physical Therapist | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2019-06-06 |