# NATIVE WOUND THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fast Track Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104762277
- **Authorized official:** MELISSA RAE THOMPSON (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (918) 571-2499

## Contact information

- **Practice address:** 201 S 36TH ST, MUSKOGEE, OK 74401-5079
- **Practice address phone:** (918) 600-2701
- **Practice address fax:** (539) 390-3009
- **Mailing address:** 201 S 36TH ST, MUSKOGEE, OK 74401-5079
- **Mailing address phone:** (918) 600-2701
- **Mailing address fax:** (539) 390-3009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/28/2026
- **Last updated:** 04/28/2026