Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lacy Clevenger

Individual provider Physical Therapy Assistant · NPI 1356936629

Lacy Clevenger is a Physical Therapy Assistant in Owasso, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2021.

Licensed in
OK
In the registry since
2021

Practice location Address checks out

12326 E 86th St N
Owasso, OK 74055-2543
Phone: (918) 272-1923
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2230 (OK)

Record details

NPI number1356936629
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 8, 2021
Last updated in NPPESJuly 22, 2021
Certification dateJuly 22, 2021
Mailing address14700 E 88th Pl N Apt 906, Owasso, OK 74055-4932

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