# NATIVE WOUND THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184335945
- **Authorized official:** JOSHUA W FORREST (CEO)
- **Authorized official phone:** (918) 805-4885

## 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 |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | — | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 12/12/2022
- **Last updated:** 11/03/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 201275340A | — | OK |