Brenae McKenzie Tidwell
Occupational Therapist · Idabel, OK
Practice location
1301 E Lincoln RdIdabel, OK 74745-7300
- Phone
- (580) 286-7623
NPI record
- NPI
- 1437873056
- Entity type
- Individual (Type 1)
- Enumeration date
- September 27, 2022
- Last updated
- September 27, 2022
- Certified
- September 27, 2022
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X |
5689 | OK |
| Occupational Therapist | 225X00000X |
123070 | TX |
Mailing address
5317 NE Lincoln RdIdabel, OK 74745-2431
- Phone
- (580) 236-5069
About Brenae Tidwell
Brenae McKenzie Tidwell is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapist (code 225X00000X). The practice location is 1301 E Lincoln Rd, Idabel, OK 74745-7300. The NPI number 1437873056 was assigned on September 27, 2022 and the record was last updated on September 27, 2022.
Brenae Tidwell lists 2 licenses in the registry: #5689 (OK) for Occupational Therapist; #123070 (TX) for Occupational Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Brenae McKenzie Tidwell?
The NPI number is 1437873056.
What is the phone number of Brenae Tidwell?
The phone number listed for the practice location is (580) 286-7623.
Where is Brenae Tidwell located?
1301 E Lincoln Rd, Idabel, OK 74745-7300.
What is the taxonomy code for Brenae Tidwell?
The primary taxonomy code is 225X00000X – Occupational Therapist; 1 more listed above.
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.
Other Occupational Therapist providers in Idabel
- Sendi Dean Raney, OT1100 Manchester Dr