Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKIE MCDANIEL
ActivePhysical Medicine & Rehabilitation · ADA, OK
Registration Details
- NPI Number
- 1073693099
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 16, 2006 (19.55535531982 yrs)
- Last Updated
- Jul 23, 2007
- License
-
1265 (OK)
Practice Information
- Address
-
1001 N COUNTRY CLUB RDADA, OK, 748202847Browse OK providers · Browse ZIP 74820
- Phone
- 5804214570
- Fax
- 5804216283
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
Other Physical Medicine & Rehabilitation Providers in ADA, OK
| Name | Credential | NPI |
|---|---|---|
| BRITT JOHNSON | — | 1902986037 |
| CLAY WARREN | — | 1023198165 |
| JAMIE MOSE | — | 1699855627 |
| LESLI BARRETT | — | 1487899704 |
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.