Healthcare Provider Details

I. General information

NPI: 1396619870
Provider Name (Legal Business Name): HALEY HURST DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2025
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

932 24TH AVE SW
NORMAN OK
73069-3915
US

IV. Provider business mailing address

932 24TH AVE SW
NORMAN OK
73069-3915
US

V. Phone/Fax

Practice location:
  • Phone: 405-573-3700
  • Fax:
Mailing address:
  • Phone: 405-573-3700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4684
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: