Organization
ALIGN CHIROPRACTIC AND WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARA SHAWN GOODSON D.C. (OWNER)
(405) 317-1754
Entity
Organization
Contact information
Practice address
2100 HARPER ST, CHOCTAW, OK 73020-8055
(405) 281-6304
(405) 281-6305
Mailing address
2100 HARPER ST, CHOCTAW, OK 73020-8055
(405) 281-6304
(405) 281-6305
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4133
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114355294
INDIVIDUAL NPI
OK
01
—
321962YWA4
MEDICARE ID
—
Enumeration date
01/28/2014
Last updated
01/04/2024
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