GO LIGHTLY CHIROPRACTIC REVOLUTION WELLNESS NPI 1740711951

NPI Information

  • NPI: 1740711951
  • Provider Name: GO LIGHTLY CHIROPRACTIC REVOLUTION WELLNESS
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 205 E GRAND AVE
    PONCA CITY, OK
    ZIP 74601
  • Phone: (580) 382-4560

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NPI Details

GO LIGHTLY CHIROPRACTIC REVOLUTION WELLNESS is a chiropractor in Ponca City, 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. GO LIGHTLY CHIROPRACTIC REVOLUTION WELLNESS NPI is 1740711951. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

205 E GRAND AVE
PONCA CITY, OK
ZIP 74601-318
Phone: (580) 382-4560
Fax: (580) 382-4360

The provider's authorized official is Seth Charles Raye Miller .
The authorized official title is Chiropractic/owner and has the following contact phone number (580) 382-4560.

The enumeration date for this NPI number is 3/21/2017 and was last updated on 9/24/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor4211OKLAHOMAYes

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: 11/21/2025

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