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NPI Code Detail

MEDICARE: MS. KELLI MORE DPT

MEDICARE: MS. KELLI MORE DPT
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
1225100000XPhysical Therapist4235OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659341154
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KELLI MORE DPT
Provider Business Mailing Address
First Line : 1700 S BROADWAY ST STE E
Second Line :
City : MOORE
State : OK
Zip : 73160-5302
Country : US
Telephone Number : 405-735-8777
Fax Number : 405-735-8778
Provider Business Practice Location Address
First Line : 1700 S BROADWAY ST STE E
Second Line :
City : MOORE
State : OK
Zip : 73160-5302
Country : US
Telephone Number : 405-735-8777
Fax Number : 405-735-8778
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2006
Last Update Date : 03/30/2026

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Directions to “ MS. KELLI MORE DPT” Practice Location

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