Organization · Type 2 NPI

Grand Lake Chiropractic PLLC

Chiropractor · Grove, OK

NPI number 1174777544 Active

Practice location

240 E 3rd St, Suite C
Grove, OK 74344-7072

Fax (918) 786-2634

Mailing address

PO Box 450638
Grove, OK 74345-0638

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X2575 (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 1174777544

Grand Lake Chiropractic PLLC's National Provider Identifier is 1174777544, issued on Nov 11, 2008. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Grove, OK. The record was last updated on Nov 12, 2008.