Individual provider · Type 1 NPI
Tina Marie Southworth, DC
Chiropractor · Stilwell, OK
NPI number
1023058625
Active
Practice location
519 N 2nd St
Stilwell, OK 74960-2407
Fax (918) 696-7479
Mailing address
201 S 2nd St
Stilwell, OK 74960-3838
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 3496 (OK) |
Chiropractor: 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.
About NPI 1023058625
Tina Marie Southworth, DC's National Provider Identifier is 1023058625, issued on Jun 8, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Stilwell, OK. The record was last updated on Aug 13, 2020.