| NPI | 1750549598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES THOMAS HICKMAN Chiropractor 918-689-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2020-04-23 |