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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIKE LEE MOODY, PTA

Active Sole Proprietor

MIKE LEE MOODY, PTA is a Occupational Therapist healthcare provider located in MIAMI, Oklahoma. NPI 1043526007 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · MIAMI, OK

Registration Details

NPI Number
1043526007
Provider Type
Individual
Gender
Male
NPI Issued
Aug 27, 2010 (15.920822809798 yrs)
Last Updated
Aug 27, 2010
License
1854 (OK)
Sole Proprietor
Yes

Practice Information

Address
1505 E STEVE OWENS BLVD
MIAMI, OK, 743547917
Browse OK providers · Browse ZIP 74354
Phone
9185404101
Fax
9185404410
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in MIAMI, OK

Name Credential NPI
MRS. BECCA SHAY COX PTA 1558572602
LINDSEY MARIE MILLER PTA 1275780702
MISS ASHLEY NICOLE EVANS P.T.A. 1154567246
ANDRA LEA BRANNON PTA 1376785303
MICHAEL A DAVIS PTA 1487923264
STEVI LYNN CASE PTA 1841627544
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.