GO LIGHTLY CHIROPRACTIC REVOLUTION WELLNESS
NPI 1740711951
Chiropractor in Ponca City, OK

Active since March 21, 2017
205 E GRAND AVE, PONCA CITY, OK 74601(580) 382-4560(580) 382-4360 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 24, 2024, Mar 21, 2017 (2 updates tracked since 2017).

About Go Lightly Chiropractic Revolution Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GO LIGHTLY CHIROPRACTIC REVOLUTION WELLNESS (NPI 1740711951) is a healthcare organization registered as a chiropractor in Ponca City, Oklahoma and active in the NPI registry since March 2017. The organization lists Seth Charles Raye Miller, Chiropractic/owner, as its authorized official.

NPPES Registry Identity

NPI1740711951
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameGO LIGHTLY CHIROPRACTIC REVOLUTION WELLNESS
Location Address205 E GRAND AVEPonca City, OK 74601-4318
Mailing Address205 E Grand AvePonca City, OK 74601-4318 · (580) 382-4560
Fax(580) 382-4360
Organization SubpartNo
Authorized OfficialSeth Charles Raye MillerChiropractic/owner · (580) 382-4560
Enumeration DateMarch 21, 2017
Last NPPES UpdateSeptember 24, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2024
NPI 1740711951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in OK · 4211
Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

205 E GRAND AVE, Ponca City, OK 74601

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Go Lightly Chiropractic Revolution Wellness's NPI number?

The NPI number for Go Lightly Chiropractic Revolution Wellness is 1740711951. It was assigned to this organization in the NPPES registry on March 21, 2017.

Where is Go Lightly Chiropractic Revolution Wellness located?

Go Lightly Chiropractic Revolution Wellness is located at 205 E Grand Ave, Ponca City, OK 74601. The listed phone number is (580) 382-4560.

What is Go Lightly Chiropractic Revolution Wellness's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Go Lightly Chiropractic Revolution Wellness was last updated on September 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.