Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB LIVELY
ActiveJACOB LIVELY is a Occupational Therapist healthcare provider located in MOORE, Oklahoma. NPI 1407447998 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · MOORE, OK
Registration Details
- NPI Number
- 1407447998
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 28, 2021 (5.5000266231998 yrs)
- Last Updated
- Jan 28, 2021
Practice Information
- Address
-
526 SW 4TH ST STE 200MOORE, OK, 731605409Browse OK providers · Browse ZIP 73160
- Phone
- 4057592700
- Fax
- 4057592722
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in MOORE, OK
| Name | Credential | NPI |
|---|---|---|
| MR. MICHAEL WAYNE BLOMSTROM | PTA | 1104944495 |
| 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 |
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.