Individual
MIKAYLA ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1405 S MAIN ST, ELK CITY, OK 73644-6913
(580) 339-8078
Mailing address
1405 S MAIN ST, ELK CITY, OK 73644-6913
(580) 339-8078
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4532
OK
Other
Enumeration date
02/03/2023
Last updated
02/03/2023
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