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

Shawnee Spine

Organization Internist Chiropractor · NPI 1578338661

Shawnee Spine is an Internist Chiropractor in Shawnee, Oklahoma. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1049 Vision Blvd Ste 700
Shawnee, OK 74804-1221
Phone: (405) 567-7716
Show map & directions

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

Specialties & licences

Internist Chiropractor (primary) Taxonomy 111NI0900X

Record details

NPI number1578338661
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Holman — Owner · (405) 567-7716
NPI enumeratedNovember 17, 2023
Last updated in NPPESNovember 17, 2023
Certification dateNovember 17, 2023
Mailing address407 N Jim Thorpe Blvd, Prague, OK 74864-4563