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RICKEY ALLEN THORNBURG JR.
NPI 1750150256
Peer Specialist in Tahlequah, OK

Active since December 26, 2023
717 BUTLER ST, TAHLEQUAH, OK 74464(580) 399-6955 Get Directions Write a Review

NPPES record last updated: December 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rickey Allen Thornburg Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICKEY ALLEN THORNBURG JR. (NPI 1750150256) is an individual peer specialist in Tahlequah, Oklahoma and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1750150256
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameRICKEY ALLEN THORNBURG JR.
Location Address717 BUTLER STTahlequah, OK 74464-2400
Mailing Address717 Butler StTahlequah, OK 74464-2400 · (803) 996-6955
Phone(580) 399-6955
Sole ProprietorYes
Enumeration DateDecember 26, 2023
NPPES CertifiedDecember 26, 2023
✔ NPI 1750150256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
717 BUTLER ST, Tahlequah, OK 74464
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rickey Thornburg's NPI number?

The NPI number for Rickey Thornburg is 1750150256. It was assigned to this individual provider in the NPPES registry on December 26, 2023.

Where is Rickey Thornburg located?

Rickey Thornburg practices at 717 Butler St, Tahlequah, OK 74464. The listed phone number is (580) 399-6955.

What is Rickey Thornburg's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Rickey Thornburg was last updated on December 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.