21ST CENTURY TOTAL WELLNESS, LLC is a specialist in Demotte, IN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. 21ST CENTURY TOTAL WELLNESS, LLC NPI is 1043412711. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
5522 E 989 N
DEMOTTE, IN
ZIP 46310-016
Phone: (219) 345-3892
The provider's authorized official is Edgar Daniel Prater .
The authorized official title is Resident Agent and has the following contact phone number (219) 756-4695.
The enumeration date for this NPI number is 6/4/2007 and was last updated on 8/22/2020.