Organization
MTP CHIROPRACTIC LLC
Active
Other names
Generations Chiropractic, Thrive Chiropractic Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOLLIE PERTREE DC (OWNER/CHIROPRACTOR)
(405) 735-8282
Entity
Organization
Contact information
Practice address
1991 TOWER DR, SUITE G, MOORE, OK 73160-2388
(405) 735-8282
(405) 735-8262
Mailing address
1991 TOWER DR, SUITE G, MOORE, OK 73160-2388
(405) 735-8282
(405) 735-8262
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3775
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902827066
BLUE CROSS/BLUE SHIELD
—
Enumeration date
01/29/2015
Last updated
12/17/2021
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