DR. Tina Marie Southworth, DC

NPI #1023058625 in Stilwell, Oklahoma

Provider Information

NPI Number: 1023058625
Entity Type: Individual
Name: DR. Tina Marie Southworth, DC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Jun 8, 2006
Last Updated: Aug 13, 2020

Practice Location

Address: 519 N 2ND ST
City: Stilwell
State: Oklahoma
ZIP Code: 74960-2407
Phone: (918) 696-7220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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