Organization
GRADDY CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINA MARIE GRADDY D.C (CHIROPRACTOR/OWNER)
(918) 378-9801
Entity
Organization
Contact information
Practice address
3315 E 47TH PL, STE. 120, TULSA, OK 74135-2914
(918) 622-9655
Mailing address
12410 E 128TH PL N, COLLINSVILLE, OK 74021-7182
(918) 378-9801
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3866
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013185453
NPI
OK
Enumeration date
08/12/2016
Last updated
08/12/2016
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