| NPI | 1669893954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICKOLAS SCOTT WILSON Doctor/Owner 317-626-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08002708A) |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2014-02-18 |