Individual
TINA L FOUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
997 W WILL ROGERS BLVD, SUITE A, CLAREMORE, OK 74017-5416
(918) 283-2222
(918) 341-6976
Mailing address
997 W WILL ROGERS BLVD, SUITE A, CLAREMORE, OK 74017-5416
(918) 283-2222
(918) 341-6976
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3450
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194521-011
CIGNA
OK
Enumeration date
08/03/2006
Last updated
01/09/2012
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