Lacy Clevenger

Physical Therapy Assistant · Owasso, OK

Individual Active NPI

NPI number 1356936629

Practice location

12326 E 86TH St N
Owasso, OK 74055-2543
Phone
(918) 272-1923

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NPI record

NPI
1356936629
Entity type
Individual (Type 1)
Enumeration date
March 8, 2021
Last updated
July 22, 2021
Certified
July 22, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 2230 OK

Mailing address

14700 E 88TH Pl N Apt 906
Owasso, OK 74055-4932

About Lacy Clevenger

Lacy Clevenger is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 12326 E 86TH St N, Owasso, OK 74055-2543. The NPI number 1356936629 was assigned on March 8, 2021 and the record was last updated on July 22, 2021.

Lacy Clevenger lists a license in the registry: #2230 (OK) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lacy Clevenger?

The NPI number is 1356936629.

What is the phone number of Lacy Clevenger?

The phone number listed for the practice location is (918) 272-1923.

Where is Lacy Clevenger located?

12326 E 86TH St N, Owasso, OK 74055-2543.

What is the taxonomy code for Lacy Clevenger?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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