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PEACE CHIROPRACTIC CLINIC P.C. NPI 1164615407


NPI Information

NPI: 1164615407
Provider Name: PEACE CHIROPRACTIC CLINIC, P.C.
Classification: Chiropractor - 111NS0005X
Entity Type: Organization

Specialization: Sports Physician

Address:
4134 S HARVARD AVE
STE B2
TULSA, OK
ZIP 74135
Phone: (917) 747-2717
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PEACE CHIROPRACTIC CLINIC, P.C. is a sports physician chiropractor in Tulsa, OK. The provider is a sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. PEACE CHIROPRACTIC CLINIC, P.C. NPI is 1164615407. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4134 S HARVARD AVE
STE B2
TULSA, OK
ZIP 74135-628
Phone: (917) 747-2717
Fax: (918) 747-2718

The provider's authorized official is Robert P Peace .
The authorized official title is Chiropractor and has the following contact phone number (918) 747-2717.

The enumeration date for this NPI number is 8/21/2007 and was last updated on 8/30/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111NS0005XChiropractorSports Physician3461OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1300522154MEDICARE PINOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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