Individual provider · Type 1 NPI
Justin Ray Phillips, DC
Chiropractor · Teucumseh, OK
NPI number
1295821874
Active
Practice location
602 N. Broadway
Teucumseh, OK 74873
Fax (405) 598-6770
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 3465 (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.
About NPI 1295821874
Justin Ray Phillips, DC's National Provider Identifier is 1295821874, issued on Oct 4, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Teucumseh, OK. The record was last updated on Jul 8, 2007.