# BACK2HEALTH OF TULSA P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376660316
- **Authorized official:** DR. MYRON DALE RATZLAFF D.C. (OWNER)
- **Authorized official phone:** (918) 322-3000

## Contact information

- **Practice address:** 14226 S ELM ST, \#2, GLENPOOL, OK 74033-3525
- **Practice address phone:** (918) 322-3000
- **Practice address fax:** (918) 322-3012
- **Mailing address:** PO BOX 459, GLENPOOL, OK 74033-0459
- **Mailing address phone:** (918) 322-3000
- **Mailing address fax:** (918) 322-3012

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 3305 | OK | Yes |

## Other

- **Enumeration date:** 03/23/2007
- **Last updated:** 08/22/2020