Healthcare Provider Details

I. General information

NPI: 1962529636
Provider Name (Legal Business Name): WHEELCHAIR & SEATING CLINIC OF OKLA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10301 E 51ST ST SUITE E
TULSA OK
74146-5804
US

IV. Provider business mailing address

10301 E 51ST ST SUITE E
TULSA OK
74146-5804
US

V. Phone/Fax

Practice location:
  • Phone: 918-622-5433
  • Fax: 918-622-5448
Mailing address:
  • Phone: 918-622-5433
  • Fax: 918-622-5448

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number874599
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. TED FORD
Title or Position: MANAGING MEMBER
Credential: ATP
Phone: 918-622-5433