| Countryside Wellness Llc | |
|
2067 Mahaney Ave, Tahlequah, OK 74464-5731 | |
| (918) 708-2563 | |
| Not Available |
| Full Name | Countryside Wellness Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2067 Mahaney Ave, Tahlequah, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205142700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Rebekah Leeetta Mouse |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1982917068 PECOS PAC ID: 3375739493 Enrollment ID: I20101201000090 |
| Provider Name | Kelly J Callaway |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1134585144 PECOS PAC ID: 9638467459 Enrollment ID: I20210113000605 |
| Mailing Address | Practice Location Address |
|---|---|
| Countryside Wellness Llc 2067 Mahaney Ave, Tahlequah, OK 74464-5731 Ph: () - | Countryside Wellness Llc 2067 Mahaney Ave, Tahlequah, OK 74464-5731 Ph: (918) 708-2563 |
Dr. Kelly J Callaway, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2067 Mahaney Ave, Tahlequah, OK 74464 Phone: 918-708-2563 Fax: 918-456-3000 | |
Seth Garrett Moore, Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 401 E Downing St, Tahlequah, OK 74464 Phone: 918-734-2711 | |
Dr. Christian H. Abels, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 215 N Water Ave, Tahlequah, OK 74464 Phone: 918-456-0801 Fax: 918-456-6222 | |
Dr. Christian Ryan Abels, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 215 N Water Ave, Tahlequah, OK 74464 Phone: 918-456-0801 Fax: 918-456-6222 | |
Dr. Tamarie Ann Eller, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 22398 S Bald Hill Rd, Tahlequah, OK 74464 Phone: 918-931-8192 | |
Robert P Mitchell, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 306 E Downing St, Tahlequah, OK 74464 Phone: 918-458-5101 |