Healthcare Provider Details

I. General information

NPI: 1801708748
Provider Name (Legal Business Name): MACKENZIE LOWE MOT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1012 24TH AVE NW
NORMAN OK
73069-6490
US

IV. Provider business mailing address

1014 W WINDSOR WAY
PURCELL OK
73080-1657
US

V. Phone/Fax

Practice location:
  • Phone: 405-601-4303
  • Fax:
Mailing address:
  • Phone: 405-343-8871
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: