Individual provider · NPI-1

Lacey Bree Lashley Blevins, OTR/L

Occupational Therapist · Muskogee, OK

NPI number1407536725
StatusActive
Last updated in NPPESJul 21, 2023

Details

NPI
1407536725
Entity type
Individual (NPI-1)
Name
Mrs. Lacey Bree Lashley Blevins
Credential
OTR/L
Sex
Female
Sole proprietor
No
Enumeration date
Jul 21, 2023
Certification date
Jul 21, 2023
Last updated
Jul 21, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist2066OKYes

Other names

  • Lacey Bree Lashley (Former Name)

Practice location

611 S Country Club Rd
Muskogee, OK 74403-6222

Phone 918-686-8100

Mailing address

805 N Anthony St
Muskogee, OK 74403-3908

Phone 918-869-1191

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