| NPI | 1891004917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA LYNN FAUCETT Sole Proprietor 765-294-2237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2010-10-07 |