| Proactive Sport And Spine Plc | |
|
4412 W Houston St, Broken Arrow, OK 74012-4645 | |
| (918) 254-8700 | |
| (918) 254-8711 |
| Full Name | Proactive Sport And Spine Plc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4412 W Houston St, Broken Arrow, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114260593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3846 (Oklahoma) | Primary |
| Provider Name | Travis J Dearmon |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1063603603 PECOS PAC ID: 3375637788 Enrollment ID: I20070917000124 |
| Mailing Address | Practice Location Address |
|---|---|
| Proactive Sport And Spine Plc 4412 W Houston, Broken Arrow, OK 74012 Ph: (918) 254-8700 | Proactive Sport And Spine Plc 4412 W Houston St, Broken Arrow, OK 74012-4645 Ph: (918) 254-8700 |
Dr. John Kenton Whitham, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 900 W Kenosha St, Broken Arrow, OK 74012 Phone: 918-251-8889 Fax: 918-258-9800 | |
Newcomb Chiropractic Clinic Inc Pc Chiropractor Medicare: Medicare Enrolled Practice Location: 400 N Main St, Ste 1, Broken Arrow, OK 74012 Phone: 918-251-4239 Fax: 918-258-7200 | |
Dr. David W. Dick, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 512 W Boston St, Broken Arrow, OK 74012 Phone: 918-451-3737 Fax: 918-451-3741 | |
Active Life Chiropractic Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2518 E Kenosha St, Broken Arrow, OK 74014 Phone: 918-286-2729 | |
Travis J Dearmon, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 4412 W. Houston, Broken Arrow, OK 74012 Phone: 918-254-8700 Fax: 918-254-8711 | |
Impact Chiropractic Clinic Inc Pc Chiropractor Medicare: Medicare Enrolled Practice Location: 4705 W Urbana St, Broken Arrow, OK 74012 Phone: 918-893-6400 Fax: 918-893-6402 | |
Dr. Carlene Adria Bolen, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 409 N Aspen Ave Ste 101b, Broken Arrow, OK 74012 Phone: 918-251-8800 Fax: 918-251-8802 |