Provider Demographics
NPI:1366290827
Name:ACCELERATED WELLNESS CENTERS LLC
Entity type:Organization
Organization Name:ACCELERATED WELLNESS CENTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:AEBI
Authorized Official - Suffix:
Authorized Official - Credentials:DC, MBA
Authorized Official - Phone:405-714-2460
Mailing Address - Street 1:702 W ALLYN AVE
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:OK
Mailing Address - Zip Code:74075-0892
Mailing Address - Country:US
Mailing Address - Phone:405-714-2460
Mailing Address - Fax:
Practice Address - Street 1:637 DELAWARE ST
Practice Address - Street 2:
Practice Address - City:PERRY
Practice Address - State:OK
Practice Address - Zip Code:73077-6635
Practice Address - Country:US
Practice Address - Phone:405-714-2460
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-09
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty