NPI 1659168193
Ignite Potential Physical Therapy and Wellness PLLC
Practice location
- Address
- 617 E Fort Worth Pl, Broken Arrow, OK 74012-4316
- Phone
- (918) 883-2887
Authorised official
- Name
- Kirby Capps
- Title
- Physical Therapist
- Phone
- (918) 883-2887
Registered specialties
Physical Therapist
Primary
Registry record
- NPI
- 1659168193
- Entity type
- Organization
- NPI issued
- 21 Apr 2025
- Record last updated
- 21 Apr 2025
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.