OrganizationActive
Legacy Health and Wellness, LLC.
NPI 1386576783 · Naturopath · Mannford, OK
Provider details
- NPI number
- 1386576783
- Entity type
- Organization
- Primary specialty
- NaturopathOther Service Providers
- Organization subpart
- No
- Authorized official
- Tiffany Caudle, Applied Kinesiologist(918) 404-0302
Specialties & taxonomies
Other Service Providers
Practice location
154 Coonrod Ave
Mannford, OK 74044
Phone: (918) 508-6992
Approximate (ZIP-level) locationGet directions
Mailing address
154 Coonrod Ave
Mannford, OK 74044
Registry dates
- Enumerated
- 2026-06-01
- Last updated
- 2026-06-01
- Certified
- 2026-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.