Provider Demographics
NPI:1346094950
Name:MUSKOGEE THERAPY SPOT LLC
Entity Type:Organization
Organization Name:MUSKOGEE THERAPY SPOT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNERS
Authorized Official - Prefix:MRS
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SALYER
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:918-557-7855
Mailing Address - Street 1:304 CREEK AVE
Mailing Address - Street 2:
Mailing Address - City:FORT GIBSON
Mailing Address - State:OK
Mailing Address - Zip Code:74434-8992
Mailing Address - Country:US
Mailing Address - Phone:918-577-7855
Mailing Address - Fax:
Practice Address - Street 1:505 N YORK ST
Practice Address - Street 2:
Practice Address - City:MUSKOGEE
Practice Address - State:OK
Practice Address - Zip Code:74403-4840
Practice Address - Country:US
Practice Address - Phone:918-577-7855
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-11
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty