| NPI | 1568127454 |
|---|---|
| Doing Business As | INNOVATIVE PAIN THERAPIES |
| Entity Type | Organization |
| Authorized Contact | MARK E NIELSON President 317-506-5961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2021-11-04 |