Late Night Chiropractic Pllc

NPI #1407802986 in Stilwell, Oklahoma

Provider Information

NPI Number: 1407802986
Entity Type: Organization
Organization Name: Late Night Chiropractic Pllc
Primary Specialty: Chiropractor
Enumeration Date: May 26, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 102 W PINE ST
City: Stilwell
State: Oklahoma
ZIP Code: 74960-2652
Phone: (918) 696-7220

Authorized Official

Name: DR. TINA MARIE SOUTHWORTH, DC
Title: CHIROPRACTOR
Phone: (918) 696-7220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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