Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Prof. Tim Rj Passmore, EDD, CTRS

Individual provider Specialist · NPI 1093840589

Prof. Tim Rj Passmore, EDD, CTRS is a Specialist in Stillwater, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2
What do these letters mean?
EDD — Doctor of Education
A doctorate in education.

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Practice location Address checks out

3124 W 24th Ave
Stillwater, OK 74074-2101
Phone: (405) 744-1811
Fax: (405) 744-6507
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X
Specialist Taxonomy 174400000X

Record details

NPI number1093840589
Entity typeIndividual (Type 1)
GenderMale
Credentials EDD , CTRS
Sole proprietorYes
NPI enumeratedFebruary 23, 2007
Last updated in NPPESApril 13, 2010

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