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Shannon Grimes
Chiropractor in Tahlequah, Oklahoma
NPI 1730681727

Shannon Grimes is a Chiropractor based in Tahlequah, OK. Shannon Grimes practices in Tahlequah, OK. The NPI Number for Shannon Grimes is 1730681727 and holds a License No. 3684 (Oklahoma).

The current practice location address for Shannon Grimes is 1603 S Muskogee Ave, Tahlequah, OK and can be reached out via phone at 918-453-9355 and via fax at 918-871-4801.

Location: 1603 S Muskogee Ave, Tahlequah, OK, 74464-5430
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730681727
Provider Name
Shannon Grimes
Credential
Provider Entity Type
Individual
Gender
Male
Address
1603 S Muskogee Ave, Tahlequah, OK, 74464-5430
Phone Number
918-453-9355
Fax Number
918-871-4801
Provider Enumeration Date
03/06/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
V082185600 01 OK DRIVERS LICENCE
institution
Provider Business Practice Location Address Details
Address
1603 S Muskogee Ave
City
Tahlequah
State
Oklahoma
Zip
74464-5430
Phone Number
918-453-9355
Fax Number
918-871-4801
person
Provider Business Mailing Address Details
Address
1603 S Muskogee Ave
City
Tahlequah
State
Oklahoma
Zip
74464-5430
Phone Number
918-453-9355
Fax Number
918-871-4801
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
3684 (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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