Healthcare Provider Details

I. General information

NPI: 1194650747
Provider Name (Legal Business Name): ACE CHIROPRACTIC AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

718 DELAWARE ST
PERRY OK
73077-6425
US

IV. Provider business mailing address

718 DELAWARE ST
PERRY OK
73077-6425
US

V. Phone/Fax

Practice location:
  • Phone: 405-972-8330
  • Fax:
Mailing address:
  • Phone: 405-972-8330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code246ZE0600X
TaxonomyElectroneurodiagnostic Specialist/Technologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. RYAN SCOTT AEBI
Title or Position: OWNER
Credential: DC, MBA, CNIM
Phone: 405-714-2460