| NPI | 1942588157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER RENEE MIRACLE Doctor Of Chiropractic/Owner 765-825-9343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08002523A) |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2011-07-22 |