OrganizationActive
Kassie Peck, PLLC
NPI 1316350036 · Multi-Specialty Clinic/Center · Broken Arrow, OK
Provider details
- NPI number
- 1316350036
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kassie Allison, Owner(918) 404-1535
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2033 W. Houston Street
Broken Arrow, OK 74012
Phone: (405) 537-9101
Fax: (918) 512-4823
Approximate (ZIP-level) locationGet directions
Mailing address
2033 W Houston Street
Broken Arrow, OK 74012
Other names (DBA / former)
- Doing business as
- Greenhouse Pediatric Therapy
Registry dates
- Enumerated
- 2014-06-10
- Last updated
- 2021-07-13
- Certified
- 2021-07-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.