Individual
TAYLOR BRACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
609 N CHARLES ST, PORTLAND, IN 47371-3011
(260) 726-3065
(260) 726-3406
Mailing address
609 N CHARLES ST, PORTLAND, IN 47371-3011
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08003401A
IN
Other
Enumeration date
11/02/2023
Last updated
04/24/2024
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