Land Run Chiropractic
Chiropractor in Edmond, OK. Organization (NPI-2).
NPI number1194459735
StatusActive
Last updated in NPPESMar 22, 2023
Details
- NPI
- 1194459735
- Entity type
- Organization (NPI-2)
- Legal business name
- Land Run Chiropractic
- Organization subpart
- No
- Enumeration date
- Jul 11, 2022
- Certification date
- Aug 12, 2022
- Last updated
- Mar 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | – | Yes |
Practice location
609 S Kelly Ave Ste C2Edmond, OK 73003-5743
Phone 405-906-2391
Mailing address
609 S Kelly Ave Ste C2Edmond, OK 73003-5743
Phone 405-906-2391
Authorized official
Courtney Lynn Williams
Office Manager
4059062391
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