NPI 1003640715
Destry Brook Kelley, DPT
Practice location
- Address
- 3300 Ok-97 STE 200, Sand Springs, OK 74063
- Phone
- (539) 527-0045
- Mailing address
- 5207 S Harvard Ave APT K, Tulsa, OK 74135-3545
Registered specialties
Physical Therapist
Primary
Registry record
- NPI
- 1003640715
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 27 Aug 2024
- Record last updated
- 27 Aug 2024
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.