Organization
THRIVE CHIROPRACTIC GROUP 3 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES TYLER PERTREE (OWNER)
(405) 604-5295
Entity
Organization
Contact information
Practice address
1201 NW 178TH ST STE 119, EDMOND, OK 73012-4280
(405) 604-5295
(405) 604-5297
Mailing address
8013 S WESTERN AVE STE A, OKLAHOMA CITY, OK 73139-2537
(405) 604-5295
(405) 604-5297
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
06/26/2020
Last updated
07/29/2020
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