Michele Renee Cox, RPT

Individual provider Active NPI Physical Therapist · Antlers, OK

NPI 1528092210 · NPPES record last updated Jul 24, 2009

Key facts

NPI
1528092210
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT1824 (OK)
Practice address
402 W Main St
Antlers, OK 74523-2087
Phone
(580) 298-9818
Fax
(580) 298-9822
NPI assigned
Jul 10, 2006
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)
Yes

State licenses

LicenseStateTypeSpecialty
PT1824OKMDPhysical Therapist
1824OKMDMedical Physician Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT1824 OK Yes

Addresses

Primary practice location

402 W Main St
Antlers, OK 74523-2087

Mailing address

402 W Main St
Antlers, OK 74523-2087
Phone (580) 298-9818

Other providers in Antlers, OK

All providers in Antlers, OK · Physical Therapist in Oklahoma

Sources for this page

Verify at the official NPI Registry.