Organization
BACK RESORT WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN W BUTTERFIELD D.C. (OWNER)
(317) 421-0955
Entity
Organization
Contact information
Practice address
1 HOWARD ST, SHELBYVILLE, IN 46176-2616
(317) 421-0955
(317) 421-0955
Mailing address
1 HOWARD ST, SHELBYVILLE, IN 46176-2616
(317) 421-0955
(317) 421-0955
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001563A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200028650A
—
IN
Enumeration date
03/20/2009
Last updated
03/20/2009
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