| NPI | 1982844494 |
|---|---|
| Doing Business As | ELITE PERFORMANCE & REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | TRAVIS EDWARD DUST Co Manager 918-408-1166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OK 3919) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OK 3910) |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2010-01-21 |