MEDICARE: DR. TRACY L. STANDRIDGE D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NR0400X	Rehabilitation Chiropractor	2448	OK

General Provider Information

NPI Number	:	1184798050
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TRACY L. STANDRIDGE D.C.

Provider Business Mailing Address
First Line	:	12707 EAST 86TH STREET NORTH
Second Line	:
City	:	OWASSO
State	:	OK
Zip	:	74055
Country	:	US
Telephone Number	:	918-272-7432
Fax Number	:	918-272-7448

Provider Business Practice Location Address
First Line	:	12707 EAST 86TH STREET NORTH
Second Line	:
City	:	OWASSO
State	:	OK
Zip	:	74055
Country	:	US
Telephone Number	:	918-272-7432
Fax Number	:	918-272-7448

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	03/29/2010

Similar Medicare Providers

1295687770 — TRICIA NICOLE GRONDIN RN
Practice Location Address:

12017 E 109TH ST N
OWASSO, OK
74055-7466

Practice Phone: 626-377-0617
Practice Fax:

1700333416 — MISS KIMBERLY RENEE MARTIN BCBA-D
Practice Location Address:

108 W 1ST AVE STE C
OWASSO, OK
74055-3137

Practice Phone: 855-223-7123
Practice Fax:

1790637841 — KENNEDY GUEST
Practice Location Address:

11412 N 134TH EAST AVE STE C3
OWASSO, OK
74055-4969

Practice Phone: 918-376-3087
Practice Fax:

1376495911 — JACILYN BURNS
Practice Location Address:

11412 N 134TH EAST AVE STE C3
OWASSO, OK
74055-4969

Practice Phone: 918-376-3087
Practice Fax:

1689524100 — EYECARE ASSOCIATES OF SOUTH TULSA PC
Practice Location Address:

11880 E 86TH ST N
OWASSO, OK
74055-2535

Practice Phone: 918-272-3937
Practice Fax:

1154272565 — REBEKAH EMRICH
Practice Location Address:

108 W 1ST AVE STE C
OWASSO, OK
74055-3137

Practice Phone: 855-223-7123
Practice Fax:

1114878253 — LUXOTTICA OF AMERICA INC
Practice Location Address:

9010 N 121ST EAST AVE
OWASSO, OK
74055-5358

Practice Phone: 918-212-7354
Practice Fax:

Directions to “ DR. TRACY L. STANDRIDGE D.C.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.