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

MR. THEODIS ROOSEVELT MANNING, B.S. ENGINEERING

Active

MR. THEODIS ROOSEVELT MANNING, B.S. ENGINEERING is a Peer Specialist healthcare provider located in MIDWEST CITY, Oklahoma. NPI 1225316706 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · MIDWEST CITY, OK

Registration Details

NPI Number
1225316706
Provider Type
Individual
Gender
Male
NPI Issued
Aug 1, 2011 (15.010190633972 yrs)
Last Updated
Apr 5, 2024

Practice Information

Address
8306 NE 10TH ST
MIDWEST CITY, OK, 731107155
Browse OK providers · Browse ZIP 73110
Phone
4057320573
Primary Specialty
Peer Specialist
175T00000X

Other Peer Specialist Providers in MIDWEST CITY, OK

Name Credential NPI
STEPHEN H LUTZ 1548780232
KRISTEN HUNTLEY 1538672498
CANTRELL EUGENE WATTS 1750899100
EBONYE PATRICE CLARK 1962998062
MISTY RENEA LOWDER 1457819211
AVIANCE BROWN 1083275796
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.