Individual
SAMUEL WETHERELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
8924 E 96TH ST, FISHERS, IN 46037-9648
(317) 588-9414
Mailing address
4108 ELKHORN DR, WESTFIELD, IN 46062-6528
(217) 251-9469
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08003261A
IN
Other
Enumeration date
09/29/2021
Last updated
09/16/2024
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