Rayleigh Beck

Individual provider Active NPI Occupational Therapy Assistant · Tahlequah, OK

NPI 1366178378 · NPPES record last updated Aug 1, 2022

Key facts

NPI
1366178378
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
2262 (OK)
Practice address
205 Harris Cir Ste 100
Tahlequah, OK 74464-8848
Phone
(918) 506-6870
NPI assigned
Aug 1, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2262OKMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 2262 OK Yes

Addresses

Primary practice location

205 Harris Cir Ste 100
Tahlequah, OK 74464-8848

Mailing address

205 Harris Cir Ste 100
Tahlequah, OK 74464-8848

Other providers in Tahlequah, OK

All providers in Tahlequah, OK · Occupational Therapy Assistant in Oklahoma

Sources for this page

Verify at the official NPI Registry.