Organization
MOTOR MOUTH THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KASEE WAY (OWNER)
(918) 704-2760
Entity
Organization
Contact information
Practice address
3712 E 83RD ST, TULSA, OK 74137
(918) 704-2760
Mailing address
3712 E 83RD ST, TULSA, OK 74137-1703
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/08/2017
Last updated
01/03/2019
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