DIVINE CHIROPRACTIC LLC

LOOGOOTEE, IN
NPI1457649857
Entity TypeOrganization
Authorized ContactJORDAN DIVINE
Manager
812-295-5600
Organization Subpart ?No
Primary Taxonomy305R00000X Preferred Provider Organization
(Licence: IN  08002579A)
Enumeration Date2011-07-19
Last Update Date2011-07-19
Business Address
DIVINE CHIROPRACTIC LLC
404 NORTH JOHN F KENNEDY AVENUE
LOOGOOTEE, IN 47553
Phone number: 812-295-5600
Mailing Address
DIVINE CHIROPRACTIC LLC
404 NORTH JOHN F KENNEDY AVENUE
LOOGOOTEE, IN 47553
Phone number: