Provider Demographics
NPI:1215705892
Name:R CHIROPRACTIC RECOVERY AND WELLNESS LLC
Entity type:Organization
Organization Name:R CHIROPRACTIC RECOVERY AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DC
Authorized Official - Prefix:DR
Authorized Official - First Name:CONNER
Authorized Official - Middle Name:
Authorized Official - Last Name:RUMINER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:580-579-4667
Mailing Address - Street 1:4331 ADAMS RD STE 101
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-1007
Mailing Address - Country:US
Mailing Address - Phone:580-579-4667
Mailing Address - Fax:
Practice Address - Street 1:4331 ADAMS RD # 101
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-1007
Practice Address - Country:US
Practice Address - Phone:405-928-9791
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-13
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty