Provider Demographics
NPI:1508152653
Name:TENSEGRITY CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:TENSEGRITY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:R
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:918-481-0655
Mailing Address - Street 1:6808 S MEMORIAL DR
Mailing Address - Street 2:STE 100
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-2066
Mailing Address - Country:US
Mailing Address - Phone:918-481-0655
Mailing Address - Fax:918-481-8729
Practice Address - Street 1:6808 S MEMORIAL DR
Practice Address - Street 2:STE 100
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-2066
Practice Address - Country:US
Practice Address - Phone:918-481-0655
Practice Address - Fax:918-481-8729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-27
Last Update Date:2011-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4027111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty