Individual
DR. TERESA ANN VESTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1809 COMMONS CIR STE A, YUKON, OK 73099-9528
(405) 577-6268
(405) 577-6371
Mailing address
1809 COMMONS CIR STE A, YUKON, OK 73099-9528
(405) 577-6268
(405) 577-6371
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3965
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3965
OKLAHOMA CHIROPRACTIC BOARD OF EXAMINERS LICENSE
OK
Enumeration date
01/31/2010
Last updated
12/08/2020
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