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

Proactive Sport and Spine PLC

Organization Chiropractor · NPI 1114260593

Proactive Sport and Spine PLC is a Chiropractor in Broken Arrow, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2013.

Licensed in
OK
In the registry since
2013

Practice location Address checks out

4412 W Houston St
Broken Arrow, OK 74012-4645
Phone: (918) 254-8700
Fax: (918) 254-8711
Show map & directions

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

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 3846 (OK)

Record details

NPI number1114260593
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Travis Dearmon — Chiropractor · (918) 254-8700
NPI enumeratedApril 3, 2013
Last updated in NPPESApril 3, 2013
Mailing address4412 W Houston, Broken Arrow, OK 74012

Other providers in Broken Arrow