MEDICARE: DR. BRITTANY WETZEL DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	4401	OK
2	111NP0017X	Pediatric Chiropractor	4401	OK

General Provider Information

NPI Number	:	1326756230
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRITTANY WETZEL DC

Provider Business Mailing Address
First Line	:	2237 W MEMORIAL RD STE 116
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73134-8064
Country	:	US
Telephone Number	:	843-568-6186
Fax Number	:	405-543-1311

Provider Business Practice Location Address
First Line	:	2237 W MEMORIAL RD STE 116
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73134-8064
Country	:	US
Telephone Number	:	843-568-6186
Fax Number	:	405-543-1311

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2022
Last Update Date	:	11/09/2022

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