Healthcare Provider Details

I. General information

NPI: 1861339582
Provider Name (Legal Business Name): VITRUVIAN CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 E 1ST ST
CHANDLER OK
74834-2404
US

IV. Provider business mailing address

910 E 1ST ST
CHANDLER OK
74834-2404
US

V. Phone/Fax

Practice location:
  • Phone: 405-328-7390
  • Fax:
Mailing address:
  • Phone: 405-432-8805
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0200X
TaxonomyRadiology Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. DAYLAN BLYTHE STUTEVILLE
Title or Position: CHIROPRACTOR
Credential: D.C.
Phone: 405-432-8805