NPI | 1821411455 |
---|---|
Entity Type | Organization |
Authorized Contact | RYAN ALAN MORNINGSTAR President/Provider 574-222-2625 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08002752A) |
Enumeration Date | 2014-02-03 |
Last Update Date | 2014-03-21 |