Individual provider · Type 1 NPI

Jacob Lively

Physical Therapy Assistant · Moore, OK

NPI number 1407447998 Active

Practice location

526 SW 4th St Ste 200
Moore, OK 73160-5409

Fax (405) 759-2722

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XNone listed

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 1407447998

Jacob Lively's National Provider Identifier is 1407447998, issued on Jan 28, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Moore, OK. The record was last updated on Jan 28, 2021.