Provider Demographics
NPI:1821976929
Name:SEEVERS, DEBRA GAYLE (LMT, MMT)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:GAYLE
Last Name:SEEVERS
Suffix:
Gender:F
Credentials:LMT, MMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 994
Mailing Address - Street 2:
Mailing Address - City:SEILING
Mailing Address - State:OK
Mailing Address - Zip Code:73663-0994
Mailing Address - Country:US
Mailing Address - Phone:620-408-6241
Mailing Address - Fax:
Practice Address - Street 1:402 W. 6TH STREET
Practice Address - Street 2:
Practice Address - City:SEILING
Practice Address - State:OK
Practice Address - Zip Code:73663
Practice Address - Country:US
Practice Address - Phone:620-408-6241
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK198253225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist