# RESTORE THERAPY AND WELLNESS

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

## Provider details

- **NPI number:** 1285550566
- **Authorized official:** LORIE LEANN WHEELER WOODALL MOT (OWNER / OPERATOR)
- **Authorized official phone:** (918) 504-1284

## Contact information

- **Practice address:** 2033 STE. A W. HOUSTON ST, BROKEN ARROW, OK 74012
- **Practice address phone:** (918) 504-1284
- **Mailing address:** 2033 STE. A W. HOUSTON ST, BROKEN ARROW, OK 74012
- **Mailing address phone:** (918) 504-1284

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 2251G0304X | Geriatric Physical Therapist | — | NULL | — |
| 2251G0304X | Geriatric Physical Therapist | — | — | — |
| 2251N0400X | Neurology Physical Therapist | — | NULL | — |
| 2251N0400X | Neurology Physical Therapist | — | — | — |
| 2251X0800X | Orthopedic Physical Therapist | — | NULL | — |
| 2251X0800X | Orthopedic Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |
| 225XE0001X | Environmental Modification Occupational Therapist | — | NULL | — |
| 225XE0001X | Environmental Modification Occupational Therapist | — | — | — |
| 225XF0002X | Feeding, Eating & Swallowing Occupational Therapist | — | NULL | — |
| 225XF0002X | Feeding, Eating & Swallowing Occupational Therapist | — | — | — |
| 225XG0600X | Gerontology Occupational Therapist | — | NULL | — |
| 225XG0600X | Gerontology Occupational Therapist | — | — | — |
| 225XL0004X | Low Vision Occupational Therapist | — | NULL | — |
| 225XL0004X | Low Vision Occupational Therapist | — | — | — |
| 225XN1300X | Neurorehabilitation Occupational Therapist | — | NULL | — |
| 225XN1300X | Neurorehabilitation Occupational Therapist | — | — | — |
| 225XP0019X | Physical Rehabilitation Occupational Therapist | — | NULL | — |
| 225XP0019X | Physical Rehabilitation Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 06/29/2026
- **Last updated:** 06/29/2026