Synergy Wellness & Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3965 Issued in OK

Legal business name

SYNERGY WELLNESS & CHIROPRACTIC PLLC

Practice address

373 S Yukon Pkwy
Ste. C
Yukon, OK 73099-4596

Phone

(405) 494-7007

Fax

(405) 494-7006

NPI assigned

May 17, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Teresa Ann Vestal, D.C.

Title

Owner

Phone

(405) 494-7007

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Synergy Wellness & Chiropractic Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337212800000",
    "number": "1891055331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 S YUKON PKWY",
            "address_2": "STE. C",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730994596",
            "telephone_number": "405-494-7007",
            "fax_number": "405-494-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 S YUKON PKWY",
            "address_2": "STE. C",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730994596",
            "telephone_number": "405-494-7007",
            "fax_number": "405-494-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY WELLNESS & CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "last_updated": "2012-05-17",
        "status": "A",
        "authorized_official_last_name": "VESTAL",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-494-7007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12351889",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy Wellness & Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Synergy Counseling LLC
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• Huixian Tang, DNP, APRN, FNP-C
• Emily Tate

• Chiropractor in Yukon, OK
• Providers in Yukon, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.