| NPI | 1558727701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASEY MICHELLE NICHOLS Chiropractor 918-637-3630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OK 3981) |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2024-09-26 |