Individual
ELISE B REED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
20971 S 465 RD, TAHLEQUAH, OK 74464-1045
(918) 453-1383
Mailing address
20971 S 465 RD, TAHLEQUAH, OK 74464-1045
(918) 453-1383
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3693
OK
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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