| Organization Name: | FOOTCARE & MORE LLC |
| NPI Number: | 1124042809 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THERESA ANNE FLOWERETTE (OWNER) |
| Mailing Address: | 606 Kihekah Ave Pawhuska |
| State: | OK US |
| Postal Code: | 740564225 |
| Phone Number: | 9182871400 |
| Fax Number: | 9182871814 |
| NPI Enumeration Date: | 07/27/2006 |
| NPI Last Update Date: | 11/15/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP3300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Pain |
| Taxonomy Definition: | |