Organization · Type 2 NPI

Proactive Sport and Spine PLC

Chiropractor · Broken Arrow, OK

NPI number 1114260593 Active

Practice location

4412 W Houston St
Broken Arrow, OK 74012-4645

Call (918) 254-8700 Map

Fax (918) 254-8711

Mailing address

4412 W Houston
Broken Arrow, OK 74012

Specialties and licenses

Taxonomy	Code	License
Chiropractor Primary	111N00000X	3846 (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 1114260593

Proactive Sport and Spine PLC's National Provider Identifier is 1114260593, issued on Apr 3, 2013. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Broken Arrow, OK. The record was last updated on Apr 3, 2013.