NPI 1073662680

Jackson Chiropractic Clinic PC

Organisation Chiropractor Edmond, OK

Practice location

Address: 3801 S Boulevard St, Edmond, OK 73013-5479
Phone: (405) 330-6655
Fax: (405) 340-3531

Authorised official

Name: Troy W Jackson
Title: President
Phone: (405) 330-6655

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 3241 (OK)

Other Chiropractor providers in Oklahoma →

Registry record

NPI: 1073662680
Entity type: Organization
NPI issued: 10 Jan 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.