Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAKELEY MATTHEW WHITBECK, PTA
Active Sole ProprietorBLAKELEY MATTHEW WHITBECK, PTA is a Occupational Therapist healthcare provider located in HUGO, Oklahoma. NPI 1790257095 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · HUGO, OK
Registration Details
- NPI Number
- 1790257095
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 26, 2018 (7.6252348146802 yrs)
- Last Updated
- Dec 26, 2018
- Licenses
-
2126370 (TX)2709 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
807 E JEFFERSON STHUGO, OK, 747434807Browse OK providers · Browse ZIP 74743
- Phone
- 5803177455
- Primary Specialty
-
Occupational Therapist
225200000X
- Additional Specialty
- Occupational Therapist
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.