Search › Oklahoma › 175T00000X
Rachael Backus
NPI 1790450476 · on the registry since 2021
Practice
- Address
- 407 W South Ave
Ponca City, OK 74601 - Phone
- (918) 308-5515
- Fax
- (580) 749-5792
- Organisation at this address
- Grand Lake Mental Health Center Inc
Grand Lake Mental Health Center IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 97
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-12-07
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