| NPI | 1962105122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT WAYNE FERGUSON Owner 317-876-7826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2023-03-24 |
| Last Update Date | 2023-03-24 |