Organization
RENEW CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE LOCKE DC (MANAGING MEMBER, CHIROPRACTOR)
(405) 237-5812
Entity
Organization
Contact information
Practice address
7319 NORTHSHORE DR, TUTTLE, OK 73089-8994
(405) 237-5812
Mailing address
7319 NORTHSHORE DR, TUTTLE, OK 73089-8994
(405) 237-5812
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811585037
NPI
OK
Enumeration date
09/20/2023
Last updated
09/20/2023
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