Provider Demographics
NPI:1548815558
Name:HEALTHY SPINE AND BODY, PLLC
Entity type:Organization
Organization Name:HEALTHY SPINE AND BODY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:FRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MACARTHUR
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:918-505-2204
Mailing Address - Street 1:2017 S ELM PL STE 106
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74012-7034
Mailing Address - Country:US
Mailing Address - Phone:918-505-2204
Mailing Address - Fax:
Practice Address - Street 1:2017 S ELM PL STE 1062017S
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012-7034
Practice Address - Country:US
Practice Address - Phone:918-505-2204
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-06
Last Update Date:2019-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy