Proactive Sport and Spine Plc
NPI #1114260593 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1114260593
- Entity Type
- Organization
- Organization Name
- Proactive Sport and Spine Plc
- Primary Specialty
- Chiropractor
- Enumeration Date
- Apr 3, 2013
- Last Updated
- Apr 3, 2013
Practice Location
- Address
- 4412 W HOUSTON ST
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-4645
- Phone
- (918) 254-8700
Authorized Official
- Name
- DR. TRAVIS J DEARMON, D.C.
- Title
- CHIROPRACTOR
- Phone
- (918) 254-8700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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