| NPI | 1841455367 |
|---|---|
| Doing Business As | INDY SPINE AND REHAB, P.C. |
| Entity Type | Organization |
| Authorized Contact | RYAN KARL VAN MATRE President/Owner 317-817-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: IN 08001984A) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2008-07-24 |