Organization
INDIANA SPINE AND SPORTS INC.
Active
Parent organization
INDIANA SPINE AND SPORTS INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
INDIANA SPINE AND SPORTS INC.
Authorized official
AMANDA JO SMITH D.C (OWNER/DOCTOR)
(812) 345-1930
Entity
Organization
Contact information
Practice address
418 S WALNUT ST SUITE C, BLOOMINGTON, IN 47401
(812) 822-2545
(812) 822-2591
Mailing address
418 S WALNUT ST SUITE C, BLOOMINGTON, IN 47401
(812) 822-2545
(812) 822-2591
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002499A
IN
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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