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Countryside Wellness LLC

Q: What type of organization is Countryside Wellness LLC?

Countryside Wellness LLC is registered in NPPES as a Chiropractor (its primary provider taxonomy).

Chiropractor in Tahlequah, OK · enumerated 2010 · authorized official Kelly Callaway, Owner/Chiropractor.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205142700

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Registry record

Entity type Organization (Type 2)

Legal business name Countryside Wellness LLC

Practice address 2067 Mahaney Ave, Tahlequah, OK, 74464

Phone (918) 708-2563

Enumeration date Aug 23, 2010

Last updated in NPPES Sep 5, 2024

Taxonomy & classification

111N00000X Chiropractor Chiropractic Providers Primary

Authorized official

Name Kelly Callaway

Title Owner/Chiropractor

Phone (918) 708-2563

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Countryside Wellness LLC?

Countryside Wellness LLC is registered in NPPES as a Chiropractor (its primary provider taxonomy).

Providers at this address

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Kelly Callaway Chiropractor · Tahlequah, OK NPI 1134585144 Gritts Wellness Clinic, LLC Primary Care Clinic/Center · Tahlequah, OK NPI 1558294140

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-09-05.