Amanda Rae Abel
Mechanotherapist in Tahlequah, OK. Individual provider (NPI-1).
NPI number1174287056
StatusActive
Last updated in NPPESOct 26, 2021
Details
- NPI
- 1174287056
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Amanda Rae Abel
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 26, 2021
- Certification date
- Oct 26, 2021
- Last updated
- Oct 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172M00000X | Mechanotherapist | – | – | Yes |
Practice location
103 Summit Ridge DrTahlequah, OK 74464-9260
Phone 918-718-1515
Mailing address
103 Summit Ridge DrTahlequah, OK 74464-9260
Phone 918-718-1515
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