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Countryside Wellness Llc
Chiropractor in Tahlequah, Oklahoma
NPI 1205142700

Countryside Wellness Llc is a Chiropractor based in Tahlequah, OK. Countryside Wellness Llc practices in Tahlequah, OK. The NPI Number for Countryside Wellness Llc is 1205142700 and holds a License No. (Oklahoma).

The current practice location address for Countryside Wellness Llc is 2067 Mahaney Ave, Tahlequah, OK and can be reached out via phone at 918-708-2563.

Location: 2067 Mahaney Ave, Tahlequah, OK, 74464-5731
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205142700
Provider Name
Countryside Wellness Llc
Credential
Provider Entity Type
Organization
Address
2067 Mahaney Ave, Tahlequah, OK, 74464-5731
Phone Number
918-708-2563
Fax Number
Provider Enumeration Date
08/23/2010
Last Update Date
09/14/2024
institution
Provider Business Practice Location Address Details
Address
2067 Mahaney Ave
City
Tahlequah
State
Oklahoma
Zip
74464-5731
Phone Number
918-708-2563
Fax Number
person
Provider Business Mailing Address Details
Address
2067 Mahaney Ave
City
Tahlequah
State
Oklahoma
Zip
74464-5731
Phone Number
918-708-2563
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
()
Definition
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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