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ACTIVE BODY CHIROPRACTIC & REHABILITATION PLLC NPI 1417188301


NPI Information

NPI: 1417188301
Provider Name: ACTIVE BODY CHIROPRACTIC & REHABILITATION, PLLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
9428 S ELWOOD AVE STE 102
JENKS, OK
ZIP 74037
Phone: (918) 296-0525
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ACTIVE BODY CHIROPRACTIC & REHABILITATION, PLLC is a chiropractor in Jenks, 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. ACTIVE BODY CHIROPRACTIC & REHABILITATION, PLLC NPI is 1417188301. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9428 S ELWOOD AVE STE 102
JENKS, OK
ZIP 74037-317
Phone: (918) 296-0525
Fax: (918) 296-0526

The provider's authorized official is Sarah Elizabeth Arnold .
The authorized official title is Chiropractor/owner and has the following contact phone number (918) 296-0525.

The enumeration date for this NPI number is 7/27/2009 and was last updated on 12/8/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor3731OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1243509000MEDICARE PINOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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