Provider Demographics
NPI:1871387795
Name:RAPHA CHIROPRACTIC
Entity type:Organization
Organization Name:RAPHA CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MONIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSSOP
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:918-550-0022
Mailing Address - Street 1:6953 E 71ST ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-2757
Mailing Address - Country:US
Mailing Address - Phone:539-399-2631
Mailing Address - Fax:
Practice Address - Street 1:6953 E 71ST ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-2757
Practice Address - Country:US
Practice Address - Phone:539-399-2631
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty