Provider Demographics
NPI:1073314688
Name:REFORM CHIROPRACTIC & WELLNESS HUB
Entity type:Organization
Organization Name:REFORM CHIROPRACTIC & WELLNESS HUB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:918-528-5880
Mailing Address - Street 1:712 WEST MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:JENKS
Mailing Address - State:OK
Mailing Address - Zip Code:74037-3519
Mailing Address - Country:US
Mailing Address - Phone:918-528-5880
Mailing Address - Fax:918-880-3080
Practice Address - Street 1:712 WEST MAIN STREET
Practice Address - Street 2:
Practice Address - City:JENKS
Practice Address - State:OK
Practice Address - Zip Code:74037-3519
Practice Address - Country:US
Practice Address - Phone:918-528-5880
Practice Address - Fax:918-880-3080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty