# HEALTH1ST OF INDY NW

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HEALTH1ST OF GREENFIELD PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1689978710
- **Legal business name:** HEALTH1ST OF GREENFIELD PC
- **Authorized official:** TERRY TOLLE DC (CEO)
- **Authorized official phone:** (317) 683-1970

## Contact information

- **Practice address:** 8258 ROCKVILLE RD, INDIANAPOLIS, IN 46214-0000
- **Practice address phone:** (317) 429-5400
- **Practice address fax:** (317) 429-5401
- **Mailing address:** 1420 SADLIER CIRCLE E DRIVE, INDIANAPOLIS, IN 46239-0000
- **Mailing address phone:** (317) 683-1970
- **Mailing address fax:** (317) 683-1989

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | — | NULL | — |
| 111NR0400X | Rehabilitation Chiropractor | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/04/2011
- **Last updated:** 01/04/2011