Individual provider · Type 1 NPI
Ethan Clark, DC
Chiropractor · Claremore, OK
NPI number
1609760347
Active
Practice location
16600 S 4150 Rd
Claremore, OK 74017-0388
Mailing address
6128 E 61st St
Tulsa, OK 74136-2117
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 4669 (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 1609760347
Ethan Clark, DC's National Provider Identifier is 1609760347, issued on Jun 6, 2025. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Claremore, OK. The record was last updated on Jun 6, 2025.