Provider Demographics
NPI:1619956554
Name:RESLER, VIKI SHARLAINE (DC)
Entity Type:Individual
Prefix:DR
First Name:VIKI
Middle Name:SHARLAINE
Last Name:RESLER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:VIKI
Other - Middle Name:S
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:401 E OKLAHOMA AVE.
Mailing Address - Street 2:
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73701-5800
Mailing Address - Country:US
Mailing Address - Phone:580-233-4300
Mailing Address - Fax:580-350-6401
Practice Address - Street 1:401 E OKLAHOMA AVE.
Practice Address - Street 2:
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73701-5800
Practice Address - Country:US
Practice Address - Phone:580-233-4300
Practice Address - Fax:580-350-6401
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-10
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2585111N00000X, 111NN1001X, 111NR0200X, 111NR0400X, 171100000X, 111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
No111N00000XChiropractic ProvidersChiropractor
No111NN1001XChiropractic ProvidersChiropractorNutrition
No111NR0200XChiropractic ProvidersChiropractorRadiology
No111NR0400XChiropractic ProvidersChiropractorRehabilitation
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKOKB5036Medicare PIN