Individual provider · Type 1 NPI

Jacob Edwards, DC

Chiropractor · Moore, OK

NPI number 1083093678 Active

Practice location

1008 SW 4th St Ste 110
Moore, OK 73160-2405

Fax (405) 708-6388

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X4198 (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.

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About NPI 1083093678

Jacob Edwards, DC's National Provider Identifier is 1083093678, issued on May 28, 2015. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Moore, OK. The record was last updated on May 8, 2025.