| NPI | 1427233485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY J KISTLER President 317-826-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: IN 08001237) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-02-06 |