Provider Demographics
NPI:1730758616
Name:MOLINA, HAYLEY MARIE (DC)
Entity type:Individual
Prefix:MISS
First Name:HAYLEY
Middle Name:MARIE
Last Name:MOLINA
Suffix:
Gender:
Credentials:DC
Other - Prefix:MS
Other - First Name:HAYLEY
Other - Middle Name:MARIE
Other - Last Name:GRUBB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:8514 N 128TH EAST AVE
Mailing Address - Street 2:
Mailing Address - City:OWASSO
Mailing Address - State:OK
Mailing Address - Zip Code:74055-6242
Mailing Address - Country:US
Mailing Address - Phone:918-272-6200
Mailing Address - Fax:918-274-3724
Practice Address - Street 1:8514 N 128TH EAST AVE
Practice Address - Street 2:
Practice Address - City:OWASSO
Practice Address - State:OK
Practice Address - Zip Code:74055-6242
Practice Address - Country:US
Practice Address - Phone:918-272-6200
Practice Address - Fax:918-274-3724
Is Sole Proprietor?:No
Enumeration Date:2021-06-23
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4408111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor