Organization
EAST STREET SPINE & REHAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON ROBERTS (CHIROPRACTOR)
(317) 791-1511
Entity
Organization
Contact information
Practice address
3786 S EAST ST, INDIANAPOLIS, IN 46227-1241
(317) 791-1511
(317) 791-1534
Mailing address
3786 S EAST ST, INDIANAPOLIS, IN 46227-1241
(317) 791-1511
(317) 791-1534
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/31/2010
Last updated
07/30/2011
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