Provider Demographics
NPI:1669821807
Name:RESET CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:RESET CHIROPRACTIC PLLC
Other - Org Name:RESET CHIROPRACTIC MUSCLE AND JOINT CLINIC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:918-283-4303
Mailing Address - Street 1:319 W 1ST ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CLAREMORE
Mailing Address - State:OK
Mailing Address - Zip Code:74017-8005
Mailing Address - Country:US
Mailing Address - Phone:918-283-4303
Mailing Address - Fax:
Practice Address - Street 1:319 W 1ST ST
Practice Address - Street 2:SUITE 101
Practice Address - City:CLAREMORE
Practice Address - State:OK
Practice Address - Zip Code:74017-8005
Practice Address - Country:US
Practice Address - Phone:918-283-4303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-08
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4228111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty