Back Pain Boot Camp
Chiropractor in Broken Arrow, OK. Organization (NPI-2).
NPI number1891963807
StatusActive
Last updated in NPPESFeb 12, 2008
Details
- NPI
- 1891963807
- Entity type
- Organization (NPI-2)
- Legal business name
- Back Pain Boot Camp
- Organization subpart
- No
- Enumeration date
- Feb 12, 2008
- Last updated
- Feb 12, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 3203 | OK | Yes |
Practice location
920 S Elm PlBroken Arrow, OK 74012-5372
Phone 918-258-2225 · Fax 918-251-6624
Mailing address
920 S Elm PlBroken Arrow, OK 74012-5372
Phone 918-258-2225 · Fax 918-251-6624
Authorized official
Darrick Davis
Owner
9182582225
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All 56 Chiropractor providers in Broken Arrow · All 2,347 providers in Broken Arrow
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