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

TaxonomyCodeLicense
Chiropractor Primary 111N00000X4669 (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.