Provider Demographics
NPI:1457032625
Name:LIMITLESS CHIROPRACTIC LLC
Entity type:Organization
Organization Name:LIMITLESS CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER,/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:LOGSDON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:405-637-8803
Mailing Address - Street 1:220 SW 167TH TER
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73170-6717
Mailing Address - Country:US
Mailing Address - Phone:405-637-8803
Mailing Address - Fax:
Practice Address - Street 1:220 SW 167TH TER
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73170-6717
Practice Address - Country:US
Practice Address - Phone:405-637-8803
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-28
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty