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 |