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

Go Lightly Chiropractic Revolution Wellness

Organization Chiropractor · NPI 1740711951

Go Lightly Chiropractic Revolution Wellness is a Chiropractor in Ponca City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2017.

Licensed in
OK
In the registry since
2017

Practice location Address checks out

205 E Grand Ave
Ponca City, OK 74601-4318
Phone: (580) 382-4560
Fax: (580) 382-4360
Show map & directions

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

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 4211 (OK)

Record details

NPI number1740711951
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Seth Miller — Chiropractic/Owner · (580) 382-4560
NPI enumeratedMarch 21, 2017
Last updated in NPPESSeptember 24, 2024
Certification dateSeptember 24, 2024
Mailing address205 E Grand Ave, Ponca City, OK 74601-4318

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