Haley Boydston, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Tahlequah, OK
NPI 1558026948 · NPPES record last updated Jan 24, 2025
Key facts
- NPI
- 1558026948
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 2353 (OK)
- Practice address
- 19600 E Ross St
Tahlequah, OK 74464-0545 - Phone
- (539) 234-1000
- NPI assigned
- Nov 1, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2353 | OK | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Nation | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 2353 | OK | Yes |
Addresses
Primary practice location
19600 E Ross St
Tahlequah, OK 74464-0545
Mailing address
19600 E Ross St
Tahlequah, OK 74464-0545
Phone (539) 234-1000
Other providers in Tahlequah, OK
- Teresa L. Borremans
- Christy Dawn Boswell
- Abby Taylor Bowlin
- Eryn Denae Boyd
- Misty Lynn Boyd
- Angela Bradshaw
- Brainstorm Psychological Services, PLLC
- Brant Rouse DDS PLC
- Francisco Efrain Bravo Jr.
- Natasha Nichole Bray
All providers in Tahlequah, OK · Occupational Therapy Assistant in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.