Organization
THERAPIES FOR FUNCTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE T MACKIN RPT (OWNER)
(918) 521-4273
Entity
Organization
Contact information
Practice address
1514 E 67TH CT, TULSA, OK 74136-3848
(918) 521-4273
Mailing address
1514 E 67TH CT, TULSA, OK 74136-3848
(918) 521-4273
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PT2382
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100639900C
—
OK
Enumeration date
03/31/2008
Last updated
03/05/2010
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