| NPI | 1407331556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW FERRIS Owner 317-774-2998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2018-09-25 |