Whalio Doctors

NPI 1093311995

Awaken Health and Wellness Center

Organisation Chiropractor Edmond, OK

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
Chiropractic Providers Taxonomy 111N00000X
Nutrition Chiropractor
Chiropractic Providers Taxonomy 111NN1001X

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.