Organization · Type 2 NPI

Impact Chiropractic Clinic Inc PC

Chiropractor · Broken Arrow, OK

NPI number 1073732087 Active

Practice location

4705 W Urbana St
Broken Arrow, OK 74012-5998

Fax (918) 893-6402

Mailing address

4705 W Urbana
Broken Arrow, OK 74012-5998

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X2589 (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.

6 other providers at this address

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About NPI 1073732087

Impact Chiropractic Clinic Inc PC's National Provider Identifier is 1073732087, issued on Apr 25, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Broken Arrow, OK. The record was last updated on Dec 15, 2009.