| NPI | 1922975580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEQ BASHORE Owner/Physical Therapist 317-727-0113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2025-10-20 |
| Last Update Date | 2025-10-20 |