| NPI | 1437929445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW KAMMERER Part Owner 317-224-7242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 225100000X Physical Therapist |
| 111N00000X Chiropractor | |
| 225700000X Massage Therapist | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-01-02 |
| Last Update Date | 2024-01-05 |