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

Mr. Theodis Roosevelt Manning, BSENGINEERING

Individual provider Peer Specialist · NPI 1225316706

Mr. Theodis Roosevelt Manning, BSENGINEERING is a Peer Specialist in Midwest City, Oklahoma. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

8306 NE 10th St
Midwest City, OK 73110-7155
Phone: (405) 732-0573
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1225316706
Entity typeIndividual (Type 1)
GenderMale
Credentials BSENGINEERING
Sole proprietorNo
NPI enumeratedAugust 1, 2011
Last updated in NPPESApril 5, 2024
Certification dateApril 5, 2024

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