IndividualActive
Alli Ivory, PTA
NPI 1609728195 · Physical Therapy Assistant · Cushing, OK
Provider details
- NPI number
- 1609728195
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 3783 (OK)
Mailing address
1023 E Cherry St
Cushing, OK 74023-4105
Registry dates
- Enumerated
- 2026-02-10
- Last updated
- 2026-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.