| NPI | 1700637402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESIREE KOENIG Office Manager 405-726-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2024-03-29 |
| Last Update Date | 2024-03-29 |