MEDICARE: NATIVE WOUND THERAPY

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
1	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1558219220
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATIVE WOUND THERAPY

Provider Business Mailing Address
First Line	:	201 S 36TH ST
Second Line	:
City	:	MUSKOGEE
State	:	OK
Zip	:	74401-5079
Country	:	US
Telephone Number	:	918-600-2701
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 S 36TH ST
Second Line	:
City	:	MUSKOGEE
State	:	OK
Zip	:	74401-5079
Country	:	US
Telephone Number	:	918-600-2701
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	REBECCA B WILLIAMSON
Credential	:
Telephone Number	:	918-685-2896

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

Similar Medicare Providers

1184335945 — NATIVE WOUND THERAPY
Practice Location Address:

201 S 36TH ST
MUSKOGEE, OK
74401-5079

Practice Phone: 918-600-2701
Practice Fax: 539-390-3009

1154282986 — SYNCIQ HEALTH
Practice Location Address:

201 S 36TH ST
MUSKOGEE, OK
74401-5079

Practice Phone: 918-600-2701
Practice Fax:

1770814329 — MISS APRIL DEANN COOPER DPT
Practice Location Address:

938B W SHAWNEE ST
MUSKOGEE, OK
74401-3511

Practice Phone: 918-683-7731
Practice Fax: 918-683-6244

1235087966 — MRS. MELANIE DAWN GODSEY RRT
Practice Location Address:

1011 HONOR HEIGHTS DR
MUSKOGEE, OK
74401-1318

Practice Phone: 918-577-3000
Practice Fax:

1457209181 — KENNETH MCCLURE RRT
Practice Location Address:

1011 HONOR HEIGHTS DR
MUSKOGEE, OK
74401-1318

Practice Phone: 918-577-3048
Practice Fax:

1528916251 — EVERETT WIEBE
Practice Location Address:

1011 HONOR HEIGHTS DR
MUSKOGEE, OK
74401-1318

Practice Phone: 918-577-3000
Practice Fax:

Directions to “NATIVE WOUND THERAPY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.