Lacy Clevenger
Physical Therapy Assistant in Owasso, OK. Individual provider (NPI-1).
NPI number1356936629
StatusActive
Last updated in NPPESJul 22, 2021
Details
- NPI
- 1356936629
- Entity type
- Individual (NPI-1)
- Name
- Lacy Clevenger
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 8, 2021
- Certification date
- Jul 22, 2021
- Last updated
- Jul 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 2230 | OK | Yes |
Practice location
12326 E 86th St NOwasso, OK 74055-2543
Phone 918-272-1923
Mailing address
14700 E 88th Pl N Apt 906Owasso, OK 74055-4932
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Other Physical Therapy Assistant providers in Owasso, OK
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- Cameron Keith FordNPI 1447726500
- Lisa GeisslerNPI 1528178423
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- Kimberly Louise Howard, RPTANPI 1033507660
- Stevan Jameson, PTANPI 1437984044
- Daniel Joyce, PTANPI 1740063692
All 25 Physical Therapy Assistant providers in Owasso · All 1,071 providers in Owasso
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