| NPI | 1912541467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM DAVID STARSIAK CEO 317-410-9978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 225700000X Massage Therapist |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2019-10-29 |