# HOME MODS BY THERAPISTS, LLC

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

## Provider details

- **NPI number:** 1326455486
- **Authorized official:** JERI GILL MCKENZIE RPT (OWNER)
- **Authorized official phone:** (580) 221-3950

## Contact information

- **Practice address:** 3424 MOUNT WASHINGTON RD, ARDMORE, OK 73401-9311
- **Practice address phone:** (580) 221-3950
- **Mailing address:** 3424 MOUNT WASHINGTON RD, ARDMORE, OK 73401-9311
- **Mailing address phone:** (580) 221-3950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251G0304X | Geriatric Physical Therapist | 2242 | OK | — |
| 225XE0001X | Environmental Modification Occupational Therapist | 600 | OK | Yes |

## Other

- **Enumeration date:** 07/21/2014
- **Last updated:** 07/21/2014