COUNTRYSIDE WELLNESS LLC is a chiropractor in Tahlequah, OK. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. COUNTRYSIDE WELLNESS LLC NPI is 1205142700. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1607 S MUSKOGEE AVE
SUITE C
TAHLEQUAH, OK
ZIP 74464-440
Phone: (918) 708-2563
Fax: (918) 456-3000
The provider's authorized official is Rebekah Mouse .
The authorized official title is Owner and has the following contact phone number (918) 931-8733.
The enumeration date for this NPI number is 8/23/2010 and was last updated on 2/10/2014.