Organization

Spinal Therapeutic Services Inc

Physical Medicine & Rehabilitation Physician in Tulsa, OK(View on Map)

Legal Business Name

Spinal Therapeutic Services Inc

NPI Number

1063610087

NPI Type

Organization

Enumeration Date

07/11/2007

Specialties

(Taxonomies)

Code

208100000X
207Q00000X

Primary Taxonomy

Yes
No

Contact
Information

Purpose

Mailing
Location

Address

4415 S HARVARD AVE
4415 S HARVARD AVE

City

Tulsa
Tulsa

State

OK
OK

Postal Code

74135-2620
74135-2620

Country

US
US

Telephone Number

(918) 743-1133
(918) 743-1133

Authorized Official

Name

Mr. Craig Huey

Title or Position

PRESIDENT

Telephone Number

(918) 743-1133

Identifiers

Identifier

444429855003

Identifier State

OK

Identifier Issuer

BLUE CROSS

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/11/2007

Provider Address

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