Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHAEL WAYNE BLOMSTROM, PTA
ActiveMR. MICHAEL WAYNE BLOMSTROM, PTA is a Occupational Therapist healthcare provider located in MOORE, Oklahoma. NPI 1104944495 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · MOORE, OK
Registration Details
- NPI Number
- 1104944495
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 26, 2007 (19.343857151487 yrs)
- Last Updated
- Jul 8, 2007
- License
-
TA691 (OK)
Practice Information
- Address
-
2111 RIVERWALK DRMOORE, OK, 731602700Browse OK providers · Browse ZIP 73160
- Phone
- 4057937885
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in MOORE, OK
| Name | Credential | NPI |
|---|---|---|
| MS. ANNA ELIZABETH ROUSSEAU-DENTON | PTA | 1750564654 |
| MR. KRIS A MOLSKNESS | PTA | 1528380201 |
| STACI BARTON | PTA | 1801445366 |
| MISS EMILY MICHELLE EDELMAN | PTA | 1780298240 |
| LISA GUNN | — | 1568053064 |
| JACOB LIVELY | — | 1407447998 |
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.