| NPI | 1790868040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN LYNN BISESI Chiropractor 317-580-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 080001647) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2019-06-10 |