Jacob Lively
Jacob Lively is a Physical Therapy Assistant in Moore, Oklahoma. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
526 SW 4th St Ste 200Moore, OK 73160-5409
Phone: (405) 759-2700
Fax: (405) 759-2722
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Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X |
|---|
Record details
| NPI number | 1407447998 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 28, 2021 |
| Last updated in NPPES | January 28, 2021 |
| Certification date | January 28, 2021 |
| Mailing address | 526 Sw 4th St Ste 200, Moore, OK 73160-5409 |
Other providers in Moore
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Mr. Michael Wayne Blomstrom, PTA
2111 Riverwalk Dr, Moore, OK 73160-2700 · (405) 793-7885
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Miss. Emily Michelle Edelman, PTA
9201 S I 35 Service Rd, Moore, OK 73160-9046 · (405) 601-4303
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Lisa Gunn
526 SW 4th St Ste 200, Moore, OK 73160-5409 · (405) 759-2700
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Cristian Lee Hernandez
526 SW 4th St Ste 200, Moore, OK 73160-5409 · (405) 759-2700
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Tyler Aaron Logan
700 S Telephone Rd, Moore, OK 73160 · (405) 912-3055
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Mr. Kris A Molskness, PTA
4121 Queens Dr, Moore, OK 73160-7683 · (405) 863-8746
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Pedro Rodriguez Jr., PTA
526 SW 4th St Ste 200, Moore, OK 73160-5409 · (405) 759-2700
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MS. Anna Elizabeth Rousseau-Denton, PTA
2111 Riverwalk Dr, Moore, OK 73160-2700 · (405) 793-7885