Organization
CARDINAL WELLNESS SERVICES
Active
Other names
Performance Wellness South
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB ROBERTS (OWNER)
(317) 791-1511
Entity
Organization
Contact information
Practice address
3786 S EAST ST, INDIANAPOLIS, IN 46227-1241
(317) 791-1511
Mailing address
3786 S EAST ST, INDIANAPOLIS, IN 46227-1241
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
06/30/2011
Last updated
06/30/2011
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