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REGENERATION NATION TULSA LLC NPI 1205591708


NPI Information

NPI: 1205591708
Provider Name: REGENERATION NATION TULSA LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
6565 S YALE AVE STE 104
TULSA, OK
ZIP 74136
Phone: (918) 481-2772
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REGENERATION NATION TULSA LLC is a chiropractor in Tulsa, OK. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. REGENERATION NATION TULSA LLC NPI is 1205591708. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6565 S YALE AVE STE 104
TULSA, OK
ZIP 74136-302
Phone: (918) 481-2772
Fax: (918) 481-2774

The provider's authorized official is Brian Lee Roadhouse .
The authorized official title is Owner/president and has the following contact phone number (918) 481-2772.

The enumeration date for this NPI number is 11/1/2021 and was last updated on 11/1/2021.


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
1207L00000XAnesthesiologyNo
2261QP2000XClinic/CenterPhysical TherapyNo
3363LF0000XNurse PractitionerFamilyNo
4111N00000XChiropractorYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.