Cylvia Allison Reckner, D.C
Individual provider Active NPI Chiropractor · Valliant, OK
NPI 1124877790 · NPPES record last updated May 16, 2024
Key facts
- NPI
- 1124877790
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 4535 (OK)
- Practice address
- 405 E Wilson St
Valliant, OK 74764-9128 - Phone
- (580) 317-0021
- Fax
- (580) 203-0003
- NPI assigned
- May 16, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4535 | OK | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4535 | OK | Yes |
Addresses
Primary practice location
405 E Wilson St
Valliant, OK 74764-9128
Mailing address
405 E Wilson St
Valliant, OK 74764-9128
Phone (580) 317-0021
Other providers in Valliant, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.