NPI 1083200760

Numbers Count

Organisation Contractor Indianapolis, IN

Practice location

Address: 8250 Bash St, Indianapolis, IN 46250-1938
Phone: (317) 820-7582

Authorised official

Name: Latesha Newton
Title: Owner
Phone: (317) 820-7582

Registered specialties (3)

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Chiropractor

Chiropractic Providers Taxonomy 111N00000X

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Acupuncturist

Other Service Providers Taxonomy 171100000X

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Registry record

NPI: 1083200760
Entity type: Organization
NPI issued: 16 Dec 2020
Record last updated: 16 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.