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

Legacy Spine and Wellness

Organization General Practice Physician · NPI 1174171714

Legacy Spine and Wellness is a General Practice Physician in Oklahoma City, Oklahoma. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

13316 S Western Ave Ste R
Oklahoma City, OK 73170-7310
Phone: (385) 319-9621
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1174171714
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Hester — Owner · (385) 319-9621
NPI enumeratedAugust 27, 2019
Last updated in NPPESAugust 27, 2019
Mailing address13316 S Western Ave Ste R, Oklahoma City, OK 73170-7310

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