| NPI | 1760850515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN CORINNE WALTON Manager 812-251-9427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08002692A) |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2015-09-10 |