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 |