Provider Demographics
NPI:1225622954
Name:ARNEY, NICOLE OLIVIA
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:OLIVIA
Last Name:ARNEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:OLIVIA
Other - Last Name:MURRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:ONWARD AND UPWARD PEDIATRIC THERAPY
Mailing Address - Street 2:1510 NORTH GRAND AVENUE
Mailing Address - City:TAHLEQUAH
Mailing Address - State:OK
Mailing Address - Zip Code:74464
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:ONWARD AND UPWARD PEDIATRIC THERAPY
Practice Address - Street 2:1510 NORTH GRAND AVENUE
Practice Address - City:TAHLEQUAH
Practice Address - State:OK
Practice Address - Zip Code:74464-7446
Practice Address - Country:US
Practice Address - Phone:918-708-2119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-23
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3204225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant