Organization · NPI-2

Native Wound Therapy

Clinic/Center, Medical Specialty · Muskogee, OK

NPI number1184335945
StatusActive
Last updated in NPPESNov 3, 2025

Details

NPI
1184335945
Entity type
Organization (NPI-2)
Legal business name
Native Wound Therapy
Organization subpart
No
Enumeration date
Dec 12, 2022
Certification date
Nov 3, 2025
Last updated
Nov 3, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM2500X Clinic/Center, Medical Specialty––Yes
207X00000X Orthopaedic Surgery––
207Q00000X Family Medicine––
207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery––

Practice location

201 S 36th St
Muskogee, OK 74401-5079

Phone 918-600-2701 · Fax 539-390-3009

Mailing address

201 S 36th St
Muskogee, OK 74401-5079

Phone 918-600-2701 · Fax 539-390-3009

Other practice locations

345 High St Ne Ste D
Warren, OH 44481-1248

Phone 918-600-2701 · Fax 539-390-3009

Authorized official

Joshua W Forrest
Ceo
9188054885

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinic/Center, Medical Specialty providers in Muskogee, OK