NPI 1093311995
Awaken Health and Wellness Center
Practice location
- Address
- 3409 S Broadway STE 801, Edmond, OK 73013-4129
- Phone
- (405) 515-9355
- Mailing address
- 157 Stonebridge Blvd APT 2232, Edmond, OK 73013-4775
Authorised official
- Name
- Jared Lane
- Title
- Owner
- Phone
- (903) 724-5505
Registered specialties (2)
Chiropractor
Primary
Nutrition Chiropractor
Registry record
- NPI
- 1093311995
- Entity type
- Organization
- NPI issued
- 7 Dec 2020
- Record last updated
- 7 Dec 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.