Healthcare Provider Details

I. General information

NPI: 1821910845
Provider Name (Legal Business Name): BALANCED BODY CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1910 N YORK ST STE C
MUSKOGEE OK
74403-1449
US

IV. Provider business mailing address

2912 HUDDERSFIELD CT
MUSKOGEE OK
74403-1851
US

V. Phone/Fax

Practice location:
  • Phone: 918-781-9000
  • Fax:
Mailing address:
  • Phone: 918-781-9000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: HUY DO
Title or Position: OWNER
Credential: DC
Phone: 918-781-9000