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

Legacy Spine and Wellness

Organization General Practice Physician · NPI 1174171714

Legacy Spine and Wellness provides General Practice Physician services in Oklahoma City, Oklahoma. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

13316 S Western Ave Ste R
Oklahoma City, OK 73170-7310
Phone: (385) 319-9621
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1174171714
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Hester — Owner · (385) 319-9621
NPI enumeratedAugust 27, 2019
Last updated in NPPESAugust 27, 2019
Mailing address13316 S Western Ave Ste R, Oklahoma City, OK 73170-7310

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