Search › Oklahoma › Physical Therapy Assistant
Jacob Lively
NPI 1407447998 · on the registry since 2021
Practice
- Address
- 526 Sw 4th St Ste 200
Moore, OK 73160 - Phone
- (405) 759-2700
- Fax
- (405) 759-2722
- Organisation at this address
- Cutting Edge Physical Therapy Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Sex
- Male
- Record last updated
- 2021-01-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma