Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Countryside Wellness LLC

Organization Chiropractor · NPI 1205142700

Countryside Wellness LLC is a Chiropractor in Tahlequah, Oklahoma. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2067 Mahaney Ave
Tahlequah, OK 74464-5731
Phone: (918) 708-2563
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X

Record details

NPI number1205142700
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Callaway — Owner/Chiropractor · (918) 708-2563
NPI enumeratedAugust 23, 2010
Last updated in NPPESSeptember 5, 2024
Certification dateSeptember 5, 2024
Mailing address2067 Mahaney Ave, Tahlequah, OK 74464-5731

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