| NPI | 1699491795 |
|---|---|
| Doing Business As | MEND AND ROOT |
| Entity Type | Organization |
| Authorized Contact | KELSI WORK Owner, Physical Therapist 317-210-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2022-10-19 |