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NPI Code Detail

MEDICARE: LUKE WEST OTD

MEDICARE: LUKE WEST OTD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist6129OK

General Provider Information

NPI Number : 1275400954
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUKE WEST OTD
Provider Business Mailing Address
First Line : 10109 E 79TH ST
Second Line :
City : TULSA
State : OK
Zip : 74133-4682
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10109 E 79TH ST
Second Line :
City : TULSA
State : OK
Zip : 74133-4682
Country : US
Telephone Number : 918-233-9550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2025
Last Update Date : 10/20/2025

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Directions to “ LUKE WEST OTD” Practice Location

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