NPI 1043405475

Shawnee Physical Therapy PC

Organisation Physical Therapy Clinic/Center Shawnee, OK

Practice location

Address: 909 N Kickapoo Ave, Shawnee, OK 74801-5729
Phone: (405) 878-8686

Authorised official

Name: Regina S Tanner
Title: Pt/Owner
Phone: (405) 878-8686

Registered specialties

Physical Therapy Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2000X Licence PT1924 (OK)

Other Clinic/Center providers in Oklahoma →

Registry record

NPI: 1043405475
Entity type: Organization
NPI issued: 10 Sep 2007
Record last updated: 24 Apr 2012

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.