Individual provider · Type 1 NPI

Lacy Clevenger

Physical Therapy Assistant · Owasso, OK

NPI number 1356936629 Active

Practice location

12326 E 86th St N
Owasso, OK 74055-2543

Call (918) 272-1923 Map

Mailing address

14700 E 88th Pl N Apt 906
Owasso, OK 74055-4932

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2230 (OK)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1356936629

Lacy Clevenger's National Provider Identifier is 1356936629, issued on Mar 8, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Owasso, OK. The record was last updated on Jul 22, 2021.