| NPI | 1881641918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A WOOLARD Owner 317-745-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08001667A) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2012-05-21 |