Whalio Doctors

NPI 1104030113

Mary Kathleen Staley, PT

Practitioner Specialist Tulsa, OK

Practice location

Address
744 W 9th St Rehab Medicine Dept (h205), Tulsa, OK 74127-9020
Phone
(918) 599-5190
Fax
(918) 599-5818
Mailing address
5117 E 25th St, Tulsa, OK 74114-3721

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence PT1080 (OK)

Registry record

NPI
1104030113
Entity type
Individual
Sex (as registered)
Female
NPI issued
9 May 2007
Record last updated
8 Jul 2007

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.