| NPI | 1760855324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW THOMAS STEVENS President 260-665-9479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08002549A) |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2015-11-04 |