Healthcare Provider Details

I. General information

NPI: 1801725841
Provider Name (Legal Business Name): AMANDA HAXEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 W BOYD ST
NORMAN OK
73069-4801
US

IV. Provider business mailing address

11401 BRYANT RD
LEXINGTON OK
73051-7316
US

V. Phone/Fax

Practice location:
  • Phone: 405-366-7898
  • Fax:
Mailing address:
  • Phone: 405-760-0168
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number2784
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: