Individual provider · Type 1 NPI
Jesse Lee Ellis, DC
Chiropractor · Marlow, OK
NPI number
1093063950
Active
Practice location
1802 S Broadway St
Marlow, OK 73055-8691
Fax (580) 721-7008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 4076 (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.
Another provider at this address
Other chiropractor providers in Marlow
About NPI 1093063950
Jesse Lee Ellis, DC's National Provider Identifier is 1093063950, issued on Aug 27, 2012. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Marlow, OK. The record was last updated on Mar 24, 2016.