| NPI | 1811337322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER NICOLE WEIDA Owner/Doctor 765-838-3489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08002587A) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2017-03-16 |