Individual
TRACY DAWN MCKEEVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
HWY 70 & HWY 81, WAURIKA, OK 73573
(580) 228-2344
Mailing address
1705 CLOVER CIR, DUNCAN, OK 73533-1405
(580) 475-7515
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
576
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
576
PTA LICENSE
OK
Enumeration date
10/31/2022
Last updated
10/31/2022
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