Organization
AWESOME CHIROPRACTIC CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERIDAN SCOTT RENSHAW DC (OWNER)
(918) 865-8811
Entity
Organization
Contact information
Practice address
150 COONROD AVE, MANNFORD, OK 74044-0063
(918) 865-8811
Mailing address
150 COONROD AVE, MANNFORD, OK 74044-0063
(918) 865-8811
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4281
OK
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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