NPI 1083211478

Kacie Marie Ingram, CTRSL

Practitioner Recreation Therapist Oklahoma City, OK

Practice location

Address: 921 NE 13th St, Oklahoma City, OK 73104-5007
Phone: (405) 664-4658
Mailing address: 4625 N Indiana Ave, Oklahoma City, OK 73118-2225

Registered specialties

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X Licence 139 (OK)

Other Recreation Therapist providers in Oklahoma →

Registry record

NPI: 1083211478
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Oct 2020
Record last updated: 8 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.