| NPI | 1689846560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHI GASAWAY Office Manager 317-577-1990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: IN 08002002A) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2013-05-06 |