Provider Demographics
NPI:1679246896
Name:PATHFINDERS UNITED, LLC
Entity Type:Organization
Organization Name:PATHFINDERS UNITED, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WESLEY
Authorized Official - Middle Name:BLAKE
Authorized Official - Last Name:PLATNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-698-4549
Mailing Address - Street 1:21602 E 32ND PL S
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74014-1163
Mailing Address - Country:US
Mailing Address - Phone:918-698-4549
Mailing Address - Fax:
Practice Address - Street 1:21602 E 32ND PL S
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74014-1163
Practice Address - Country:US
Practice Address - Phone:918-698-4549
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-26
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment