| NPI | 1447451000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY RYAN LAWRENCE Owner President 812-479-8350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08001987A) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2014-12-04 |