| NPI | 1760805832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN PORTERFIELD Owner/Medical Director 219-850-1031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08002471A) |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2014-04-25 |