| NPI | 1659629954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOLENE MELISSA UPCHURCH Chiropractor 317-250-4656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 007429) |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2013-04-10 |