Organization
INDIANA BACKTOWELLNESS
Active
Other names
BacktoWellness
Organization subpart
No
Provider details
NPI number
Authorized official
KACI ELIZABETH RUCK-CHALFANT (OFFICE MANAGER)
(260) 440-9256
Entity
Organization
Contact information
Practice address
238 DEMAREST DR, INDIANAPOLIS, IN 46214-2930
(260) 440-9256
Mailing address
238 DEMAREST DR, INDIANAPOLIS, IN 46214-2930
(260) 440-9256
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002819A
IN
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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