Individual provider · Type 1 NPI

Timothy Allen Wagner, DC

Chiropractor · Broken Arrow, OK

NPI number 1881644292 Active

Practice location

2016 W. Houston
Broken Arrow, OK 74012

Call (918) 742-2094 Map

Fax (918) 742-2095

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X3225 (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 1881644292

Timothy Allen Wagner, DC's National Provider Identifier is 1881644292, issued on May 10, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Broken Arrow, OK. The record was last updated on Jul 10, 2014.