Healthcare Provider Details

I. General information

NPI: 1619604261
Provider Name (Legal Business Name): LEAH SKRABAL OKUN DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2022
Last Update Date: 01/14/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1585 S PLAZA WAY STE 150
FLAGSTAFF AZ
86001-7156
US

IV. Provider business mailing address

710 N BEAVER ST BLDG 3
FLAGSTAFF AZ
86001-3147
US

V. Phone/Fax

Practice location:
  • Phone: 910-622-5698
  • Fax:
Mailing address:
  • Phone: 282-261-5569
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number9183
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: