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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. 3983 (Oklahoma).

The current practice location address for Countryside Wellness Llc is 1607 S Muskogee Ave, Tahlequah, OK and can be reached out via phone at 918-708-2563 and via fax at 918-456-3000. You can also correspond with Countryside Wellness Llc through the mailing address at 18612 E 710 RD, TAHLEQUAH, OK - 74464-6289 (mailing address contact number: ).

Location: 1607 S Muskogee Ave, Tahlequah, OK, 74464-6289
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
1607 S Muskogee Ave, Tahlequah, OK, 74464-6289
Phone Number
918-708-2563
Fax Number
918-456-3000
Provider Enumeration Date
08/23/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1607 S Muskogee Ave
City
Tahlequah
State
Oklahoma
Zip
74464-5440
Phone Number
918-708-2563
Fax Number
918-456-3000
person
Provider Business Mailing Address Details
Address
18612 E 710 Rd
City
Tahlequah
State
Oklahoma
Zip
74464-6289
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
3983 (Oklahoma)
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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