| NPI | 1548397771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY DANIEL DETTWILER President 317-902-5802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08002271A) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |