Organization
ALDRIDGE & DUST ENTERPRISES INC.
Active
Other names
Elite Performance & Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAVIS EDWARD DUST D.C. (CO-MANAGER)
(918) 408-1166
Entity
Organization
Contact information
Practice address
12806 E 101ST PL N, OWASSO, OK 74055-4662
(918) 376-4243
(918) 376-4249
Mailing address
12806 E 101ST PL N, OWASSO, OK 74055-4662
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3910
OK
111N00000X
Chiropractor
Primary
3919
OK
Other
Enumeration date
02/23/2009
Last updated
01/21/2010
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