Jake Wesley Landreth, DC

NPI #1902106768 in Owasso, Oklahoma

Provider Information

NPI Number: 1902106768
Entity Type: Individual
Name: Jake Wesley Landreth, DC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Oct 27, 2010
Last Updated: Oct 27, 2010

Practice Location

Address: 12707 E 86TH ST N
City: Owasso
State: Oklahoma
ZIP Code: 74055-2506
Phone: (918) 272-7432

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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