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Search › Oklahoma › 225200000X

Michael Mccoy, PTA

NPI 1700497823 · on the registry since 2020 · sole proprietor

Practice

Address
1709 S Main St
Broken Arrow, OK 74012
Phone
(918) 557-4499
Organisation at this address
Village Ba Operations Llc
Village Health Services Llc
Village Health Care Center Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-08-12

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