NPI 1306954078 · live from the CMS NPI Registry
Merle Basquez
Physical Therapist in Muskogee, OK. National Provider Identifier 1306954078, active.
NPI record
| NPI | 1306954078 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 3308 W Okmulgee St, Muskogee, OK 74401 |
| Practice phone | 918-683-7731 |
| Mailing address | 21092 E 102nd St, Broken Arrow, OK 74014 |
| Enumerated | August 25, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.